Whalio Doctors

NPI 1245029438

Evolve Residential LLC

Organisation Substance Abuse Rehabilitation Facility Glen Burnie, MD

Practice location

Address
6305a Carolina Ave, Glen Burnie, MD 21061-1601
Phone
(410) 548-3733
Mailing address
2528 Mountain Rd STE 204, Pasadena, MD 21122-7204

Authorised official

Name
Sara E Burden
Title
Owner
Phone
(410) 548-3733

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1245029438
Entity type
Organization
NPI issued
5 May 2025
Record last updated
5 May 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.