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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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