# EVOLUTION HOMES FOR CHILDREN AND YOUTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043037286
- **Authorized official:** DR. CLEO DEMONT WHITE ED.D. (EXECUTIVE DIRECTOR/CEO)
- **Authorized official phone:** (832) 918-6757

## Contact information

- **Practice address:** 2916 MISTY ELM LN, ROSENBERG, TX 77469-3857
- **Practice address phone:** (832) 918-7567
- **Mailing address:** 2916 MISTY ELM LN, ROSENBERG, TX 77469-3857
- **Mailing address phone:** (832) 918-7567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2024
- **Last updated:** 09/20/2024