Evolution Recovery Services Llc | |
4622 Rochambeau Dr Williamsburg VA 23188-7114 | |
(757) 239-1462 | |
Not Available |
Full Name | Evolution Recovery Services Llc |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 4622 Rochambeau Dr, Williamsburg, Virginia |
Authorized Official Name and Position | Jefferey Carver (OWNER) |
Authorized Official Contact | 7572391462 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evolution Recovery Services Llc Po Box 485 Norge VA 23127-0485 Ph: (757) 239-1462 | Evolution Recovery Services Llc 4622 Rochambeau Dr Williamsburg VA 23188-7114 Ph: (757) 239-1462 |
NPI Number | 1063093748 |
---|---|
Provider Enumeration Date | 04/15/2021 |
Last Update Date | 04/15/2021 |
Certification Date | 04/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063093748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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