Organization
EVOLVE ADDICTION RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSSA ZELSNACK LPC (EXECUTIVE DIRECTOR)
(570) 288-4205
Entity
Organization
Contact information
Practice address
671 WYOMING AVE, KINGSTON, PA 18704-3831
(570) 288-4205
(570) 288-4889
Mailing address
671 WYOMING AVE, KINGSTON, PA 18704-3831
(570) 288-4205
(570) 288-4889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
03/04/2024
Last updated
05/14/2025
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