Organization
EVO SOLUTIONS YOUTH&FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENEAPHA RENEE PATTON (MEMBER/CEO)
(602) 706-3020
Entity
Organization
Contact information
Practice address
731 E WESLEYAN DR, TEMPE, AZ 85282-3844
(602) 706-3020
Mailing address
4425 W KIRKLAND AVE, SAN TAN VALLEY, AZ 85144-6140
(602) 706-0096
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/12/2023
Last updated
07/31/2024
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