Organization
EVOLUTION THERAPEUTIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONT JONES (CEO)
(443) 570-5027
Entity
Organization
Contact information
Practice address
9500 MEDICAL CENTER DR STE 420, LARGO, MD 20774-3716
(240) 490-3177
Mailing address
407 RED MEADOWS CT, REISTERSTOWN, MD 21136-6229
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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