| Evergreen Mental Health Services, Inc. | |
|
1645 Ridgely St Suite 100 Baltimore MD 21230-2050 | |
| (240) 251-4702 | |
| (301) 251-4703 |
| Full Name | Evergreen Mental Health Services, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1645 Ridgely St, Baltimore, Maryland |
| Authorized Official Name and Position | Barton Azwalinsky (CEO) |
| Authorized Official Contact | 3012514702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Mental Health Services, Inc. 9318 Gaither Rd Ste 220 Gaithersburg MD 20877-1407 Ph: (240) 251-4702 | Evergreen Mental Health Services, Inc. 1645 Ridgely St Suite 100 Baltimore MD 21230-2050 Ph: (240) 251-4702 |
| NPI Number | 1083013999 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083013999 | NPI | - | NPPES |
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