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EVOLVE BEHAVIORAL HEALTH NPI 1538810304


NPI Information

NPI: 1538810304
Provider Name: EVOLVE BEHAVIORAL HEALTH

Doing Business As: CELADON RECOVERY

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
14260 METROPOLIS AVE STE 102
FORT MYERS, FL
ZIP 33912
Phone: (239) 880-3990
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EVOLVE BEHAVIORAL HEALTH is a rehabilitation and substance use disorder clinic center in Fort Myers, FL. EVOLVE BEHAVIORAL HEALTH NPI is 1538810304. The provider is registered as an organization entity type.
The provider Is Doing Business As Celadon Recovery.

The provider's business location address is:

14260 METROPOLIS AVE STE 102
FORT MYERS, FL
ZIP 33912-436
Phone: (239) 880-3990

The provider's authorized official is Brian Walowitz .
The authorized official title is Director Of Technology and has the following contact phone number (239) 880-3990.

The enumeration date for this NPI number is 1/13/2022 and was last updated on 8/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.