Organization
EVOLVE BEHAVIORAL HEALTH
Active
Other names
Celadon Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN WALOWITZ (DIRECTOR OF TECHNOLOGY)
(239) 880-3990
Entity
Organization
Contact information
Practice address
14260 METROPOLIS AVE STE 102, FORT MYERS, FL 33912-4436
(239) 880-3990
Mailing address
14260 METROPOLIS AVE STE 101, FORT MYERS, FL 33912-4436
(239) 880-3990
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
08/29/2022
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