| NPI | 1023255452 |
|---|---|
| Other Name | EVERGREEN DAY TREATMENT |
| Entity Type | Organization |
| Authorized Contact | BERNIS MEDLOCK Senior Vice President 870-793-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |