Organization
EVOLVE RESIDENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BURDEN (EXECUTIVE DIRECTOR)
(443) 548-3733
Entity
Organization
Contact information
Practice address
8001 LEELAND DR, PASADENA, MD 21122-2495
(410) 360-1675
Mailing address
8001 LEELAND DR, PASADENA, MD 21122-2495
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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