Organization
EVOKE COCONUT CREEK LLC
Active
Parent organization
EVOKE COCONUT CREEK LLC
Other names
EVOKE COCONUT CREEK, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVOKE COCONUT CREEK LLC
Authorized official
SHERITA CHANG MS (CRO)
(954) 993-2040
Entity
Organization
Contact information
Practice address
7618 MARGATE BLVD, MARGATE, FL 33063-3352
(954) 993-2040
(954) 990-6305
Mailing address
3920 NW 43RD ST, COCONUT CREEK, FL 33073-3462
(954) 990-6305
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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