| Evergreen Youth And Family Services, Inc | |
|
610 Patriot Dr Nw Bemidji MN 56601-4570 | |
| (218) 308-9006 | |
| (218) 751-8070 |
| Full Name | Evergreen Youth And Family Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 610 Patriot Dr Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Karie K Barry (HR AND FACILITIES & SAFETY DIRECTOR) |
| Authorized Official Contact | 2183089066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Youth And Family Services, Inc Po Box 622 Bemidji MN 56619-0622 Ph: (218) 308-9006 | Evergreen Youth And Family Services, Inc 610 Patriot Dr Nw Bemidji MN 56601-4570 Ph: (218) 308-9006 |
| NPI Number | 1700981768 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 10/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700981768 | NPI | - | NPPES |
| 140171800 | Other | MN | MHCP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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