NPI 1043957137

Evolve Residential LLC

Organisation Substance Abuse Rehabilitation Facility Glen Burnie, MD

Practice location

Address: 6305 Carolina Ave, Glen Burnie, MD 21061-1601
Phone: (443) 548-3733
Mailing address: 2528 Mountain Rd STE 204, Pasadena, MD 21122-7204

Authorised official

Name: Jessie Costley
Title: Licensing & Credentialing Specialis
Phone: (443) 548-3733

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Maryland →

Registry record

NPI: 1043957137
Entity type: Organization
NPI issued: 19 May 2022
Record last updated: 13 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.