Organization
EVOLVE RECOVERY CENTER AT MILLBURY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CHELALES (VP OF COMPLIANCE)
(646) 285-4035
Entity
Organization
Contact information
Practice address
29 MAIN ST STE 300, MILLBURY, MA 01527-2005
(508) 876-3223
(508) 876-3224
Mailing address
PO BOX 27035, NEWARK, NJ 07101-6735
(508) 876-3223
(508) 876-3224
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/29/2021
Last updated
10/11/2023
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