NPI 1104648617
Evolve Community Services, INC.
Practice location
- Address
- 8101 Sandy Spring Rd STE 300w-05, Laurel, MD 20707-3596
- Phone
- (240) 855-6293
Authorised official
- Name
- Martin Nkemamin Nzefeh
- Title
- Ceo
- Phone
- (240) 855-6293
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1104648617
- Entity type
- Organization
- NPI issued
- 26 Oct 2024
- Record last updated
- 26 Oct 2024
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.