| Evolution Support Services, Llc | |
|
9344 E Zayante Rd Felton CA 95018-9017 | |
| (831) 713-7869 | |
| Not Available |
| Full Name | Evolution Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9344 E Zayante Rd, Felton, California |
| Authorized Official Name and Position | Scott Beesley (PRESIDENT) |
| Authorized Official Contact | 8317137869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Support Services, Llc Po Box 657 Santa Cruz CA 95061-0657 Ph: (831) 713-7869 | Evolution Support Services, Llc 9344 E Zayante Rd Felton CA 95018-9017 Ph: (831) 713-7869 |
| NPI Number | 1992355911 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992355911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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