| The Evolution Group Inc. | |
|
218 Broadway Blvd Se Albuquerque NM 87102-3425 | |
| (505) 242-6988 | |
| (505) 242-6972 |
| Full Name | The Evolution Group Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 218 Broadway Blvd Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Daniel Blackwood (DIRECTOR) |
| Authorized Official Contact | 5052426988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Evolution Group Inc. 218 Broadway Blvd Se Albuquerque NM 87102-3425 Ph: (505) 242-6988 | The Evolution Group Inc. 218 Broadway Blvd Se Albuquerque NM 87102-3425 Ph: (505) 242-6988 |
| NPI Number | 1285801191 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 12/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285801191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | () | Secondary |
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