Organization Name: | EVOKE |
NPI Number: | 1144677345 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN HUFFING (CLINICAL DIRECTOR) |
Mailing Address: | 20332 Empire Ave Suite F-7 Bend |
State: | OR US |
Postal Code: | 977035712 |
Phone Number: | 5413821620 |
Fax Number: | 5413821817 |
NPI Enumeration Date: | 05/17/2016 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | C4041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |