Evergreen Wellness, Llc | |
24447 E Doyle Rd Cataldo ID 83810-9467 | |
(208) 512-2522 | |
Not Available |
Full Name | Evergreen Wellness, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 24447 E Doyle Rd, Cataldo, Idaho |
Authorized Official Name and Position | Meghann Johnson (CEO) |
Authorized Official Contact | 2085122522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evergreen Wellness, Llc 24447 E Doyle Rd Cataldo ID 83810-9467 Ph: (208) 512-2522 | Evergreen Wellness, Llc 24447 E Doyle Rd Cataldo ID 83810-9467 Ph: (208) 512-2522 |
NPI Number | 1669283545 |
---|---|
Provider Enumeration Date | 01/18/2025 |
Last Update Date | 01/18/2025 |
Certification Date | 01/18/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669283545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |