Organization
EVOLVING LIVES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHRISTOPHER LUCIN-CACERES MSW (PROGRAM DIRECTOR)
(786) 830-8171
Entity
Organization
Contact information
Practice address
24601 PACKINGHOUSE RD UNIT 2, HOMESTEAD, FL 33032-3807
(786) 830-8171
Mailing address
24601 PACKINGHOUSE RD UNIT 2, HOMESTEAD, FL 33032-3807
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
06/14/2024
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