Evergreen Behavioral Management

NPI 1043459647 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1043459647
Enumeration Date 02/05/2009
Last Updated 03/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GINGER G GINGER
Position OWNER
Phone (910) 738-9420
Fax (910) 671-9414
Practice Location
220 G & H WINTERGREEN DR
LUMBERTON NC, 28358, US
Phone (910) 738-9420
Fax (910) 671-9414
Business Location
PO BOX 425
WHITEVILLE NC, 28472-0425, US
Phone (910) 640-5512
Fax (910) 641-0606
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Evergreen Behavioral Management NPI is 1043459647, taxonomy code is 251S00000X Evergreen Behavioral Management physically located at 220 G & H Wintergreen Dr, Lumberton NC, 28358. NPI Number 1033115704 has the healthcare provider type.

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1043459647 NPI number is provided on an as is basis without warranty of any kind. 1043459647 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Behavioral Management are for informational purposes only.