Organization
EVOLVE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN NKEMAMIN NZEFEH (CEO)
(240) 855-6293
Entity
Organization
Contact information
Practice address
8101 SANDY SPRING RD STE 300W-05, LAUREL, MD 20707-3596
(240) 855-6293
Mailing address
8101 SANDY SPRING RD STE 300W-05, LAUREL, MD 20707-3596
(240) 855-6293
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/26/2024
Last updated
10/26/2024
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