Organization
EVOLUTION TO WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATHERESA WILLIAMS (PRESIDENT)
(216) 415-9325
Entity
Organization
Contact information
Practice address
3100 E 45TH ST STE 406, CLEVELAND, OH 44127-1095
(216) 415-9325
Mailing address
3992 E 144TH ST, CLEVELAND, OH 44128-1870
(216) 415-9325
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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