Healthcare Provider Details

I. General information

NPI: 1477243368
Provider Name (Legal Business Name): EVO SOLUTIONS YOUTH&FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 E KLEINDALE RD
TUCSON AZ
85716-1392
US

IV. Provider business mailing address

3434 E KLEINDALE RD STE 106
TUCSON AZ
85716-1392
US

V. Phone/Fax

Practice location:
  • Phone: 602-706-0096
  • Fax: 602-926-2521
Mailing address:
  • Phone: 602-706-0096
  • Fax: 602-926-2521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KENEAPHA RENEE PATTON
Title or Position: MEMBER/CEO
Credential:
Phone: 602-706-0096