Organization
EVOLVE BEHAVIORAL HEALTH
Active
Other names
Celadon Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WALOWITZ (DIRECTOR OF TECHNOLOGY)
(239) 880-3990
Entity
Organization
Contact information
Practice address
3331 E RIVERSIDE DR, FORT MYERS, FL 33916-1457
(239) 880-3990
Mailing address
3331 E RIVERSIDE DR, FORT MYERS, FL 33916-1457
(239) 880-3990
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/21/2019
Last updated
02/03/2022
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