Organization
EVOLVE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CHELALES (ADMINISTRATOR)
(646) 285-3035
Entity
Organization
Contact information
Practice address
16 WHITESVILLE RD, TOMS RIVER, NJ 08753-4107
(508) 785-4490
(508) 785-4985
Mailing address
PO BOX 12593, NEWARK, NJ 07101-3562
(508) 785-4490
(508) 785-4490
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/09/2020
Last updated
06/26/2024
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