Living Evolution: An Outdoor Experiential Learning Program Inc.

LBN: Living Evolution: An Outdoor Experiential Learning Program Inc.
Living Evolution: An Outdoor Experiential Learning Program Inc. is an health care organization with primary practice located at 6001 Buttler Lane Suite 206, Scotts Valley CA 95066. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Nutrition, Education. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Living Evolution: An Outdoor Experiential Learning Program Inc. can be contacted via phone (831) 247-3984, or through Krimmer, Jorden R. via phone (831) 247-3984.

Contact Information

Primary practice address
6001 Buttler Lane Suite 206 Scotts Valley CA 95066
Phone: (831) 247-3984
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krimmer, Jorden R. MACP
Phone: (831) 247-3984

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1912393612
LBN Legal business name Living Evolution: An Outdoor Experiential Learning Program Inc.
DBA Doing business as
Authorized official Krimmer, Jorden R. MACP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2015
Last updated Apr 9th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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