Organization
EVOLUTION UNLIMITED II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA THOMAS NCAC II (PROGRAM DIRECTOR)
(410) 370-8544
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY STE 200, COLUMBIA, MD 21044-6250
(410) 370-8544
Mailing address
1632 LITTLE PATUXENT PKWY SUITE 100, CENTURY PLAZA 2000, COLUMBIA, MD 21044
(410) 370-8544
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
AC1434
MD
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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