| Evergreen Behavioral | |
|
1409 Pinckney Street Whiteville NC 28472-2220 | |
| (910) 641-0600 | |
| (910) 641-0606 |
| Full Name | Evergreen Behavioral |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1409 Pinckney Street, Whiteville, North Carolina |
| Authorized Official Name and Position | Ginger G. Gore (OWNER) |
| Authorized Official Contact | 9106410600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Behavioral P.o. Box 425 Whiteville NC 28472-2220 Ph: (910) 641-0600 | Evergreen Behavioral 1409 Pinckney Street Whiteville NC 28472-2220 Ph: (910) 641-0600 |
| NPI Number | 1396984373 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 08/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396984373 | NPI | - | NPPES |
| 8702201 | Medicaid | NC | |
| 3408980 | Medicaid | NC |
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