Organization
EVOLUTION THERAPEUTIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONT JONES (CEO)
(410) 245-9388
Entity
Organization
Contact information
Practice address
9500 MEDICAL CENTER DR STE 420, LARGO, MD 20774-3716
(240) 490-3177
Mailing address
407 RED MEADOWS CT, REISTERSTOWN, MD 21136-6229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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