Organization
EVOLVE HEALTHCARE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAN BOUDREAUX (EXECUTIVE DIRECTOR)
(816) 617-8787
Entity
Organization
Contact information
Practice address
2908 WAYNE AVE, KANSAS CITY, MO 64109-1629
(816) 617-8787
Mailing address
2908 WAYNE AVE, KANSAS CITY, MO 64109-1629
(816) 617-8787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/31/2024
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