Evergreen Health Care | |
9710 Patuxent Woods Dr Suite 200 Columbia MD 21046-1526 | |
(301) 575-8080 | |
Not Available |
Full Name | Evergreen Health Care |
---|---|
Speciality | Counselor |
Location | 9710 Patuxent Woods Dr, Columbia, Maryland |
Authorized Official Name and Position | Jessica L Kohnen (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4434514973 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evergreen Health Care 3000 Falls Rd Suite 1 Baltimore MD 21211-2474 Ph: () - | Evergreen Health Care 9710 Patuxent Woods Dr Suite 200 Columbia MD 21046-1526 Ph: (301) 575-8080 |
NPI Number | 1659769024 |
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Provider Enumeration Date | 01/07/2015 |
Last Update Date | 01/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659769024 | NPI | - | NPPES |
5354021 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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