| Evergreen Behavioral Management, Inc. | |
|
1409 Pinckney St Whiteville NC 28472-2220 | |
| (910) 640-5512 | |
| (910) 641-0606 |
| Full Name | Evergreen Behavioral Management, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1409 Pinckney St, Whiteville, North Carolina |
| Authorized Official Name and Position | Ginger G. Gore (CEO) |
| Authorized Official Contact | 9106410600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Behavioral Management, Inc. 1409 Pinckney St Whiteville NC 28472-2220 Ph: (910) 640-5512 | Evergreen Behavioral Management, Inc. 1409 Pinckney St Whiteville NC 28472-2220 Ph: (910) 640-5512 |
| NPI Number | 1669780300 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669780300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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