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Organization
EVOLUTION HOMES FOR CHILDREN AND YOUTH LLC
Active
Organization
EVOLUTION HOMES FOR CHILDREN AND YOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEO DEMONT WHITE ED.D. (EXECUTIVE DIRECTOR/CEO)
(832) 918-6757
Entity
Organization
Contact information
Practice address
2916 MISTY ELM LN, ROSENBERG, TX 77469-3857
(832) 918-7567
Mailing address
2916 MISTY ELM LN, ROSENBERG, TX 77469-3857
(832) 918-7567
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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