Organization
EVOLUTIONAL GROUP LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON ADAMS (ADMINISTRATOR)
(667) 270-1122
Entity
Organization
Contact information
Practice address
296 HIGHGATE AVE, BUFFALO, NY 14215-1026
(716) 598-0554
Mailing address
19 VANDERBILT DR, AIKEN, SC 29803-6280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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