| Evolve Care | |
|
897 Peters Creek Pkwy Ste 101 Winston Salem NC 27103-3858 | |
| (336) 725-9135 | |
| (336) 725-9139 |
| Full Name | Evolve Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 897 Peters Creek Pkwy Ste 101, Winston Salem, North Carolina |
| Authorized Official Name and Position | Jannet Tisdale Blue (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3369266463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Care 897 Peters Creek Pkwy Ste 101 Winston Salem NC 27103-3858 Ph: (336) 725-9135 | Evolve Care 897 Peters Creek Pkwy Ste 101 Winston Salem NC 27103-3858 Ph: (336) 725-9135 |
| NPI Number | 1003052119 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 12/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003052119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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