OrganizationActive
Let Your Soul Evolve, LLC.
NPI 1477095768 · Mental Illness Community Based Residential Treatment Facility · Delray Beach, FL
Provider details
- NPI number
- 1477095768
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Nicola Rajaram, Billing Manager
Practice location
4723 W Atlantic Ave
Suite A-21
Delray Beach, FL 33445-3895
Phone: (561) 628-6651
Mailing address
4723 W Atlantic Ave
Delray Beach, FL 33445-3895
Registry dates
- Enumerated
- 2016-11-17
- Last updated
- 2016-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.