Organization
EVOLUTION SUPPORT SERVICES, LLC
Active
Organization
EVOLUTION SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT BEESLEY (PRESIDENT)
(831) 713-7869
Entity
Organization
Contact information
Practice address
9344 E ZAYANTE RD, FELTON, CA 95018-9017
(831) 713-7869
Mailing address
PO BOX 657, SANTA CRUZ, CA 95061-0657
(831) 713-7869
(831) 426-6891
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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