Evergreen Actt, Inc.

NPI 1073763256 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1073763256
Enumeration Date 09/24/2008
Last Updated 09/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BRENTON BLAKE BRENTON
Position OWNER
Phone (910) 641-0600
Fax (910) 641-0606
Practice Location
1409 PINCKNEY ST
WHITEVILLE NC, 28472-2220, US
Phone (910) 641-0600
Fax (910) 641-0606
Business Location
PO BOX 425
1409 PINCKNEY STREET
WHITEVILLE NC, 28472-0425, US
Phone (910) 641-0600
Fax (910) 641-0606
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1073763256 NPI Number
 

According to our database, Evergreen Actt, Inc. NPI is 1073763256, taxonomy code is 251S00000X Evergreen Actt, Inc. physically located at 1409 Pinckney St, Whiteville NC, 28472-2220. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073763256 NPI number is provided on an as is basis without warranty of any kind. 1073763256 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Actt, Inc. are for informational purposes only.