| NPI | 1033517255 |
|---|---|
| Doing Business As | EVERGREEN HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | JESSICA L KOHNEN Executive Director 443-451-4973 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2015-01-05 |