| NPI | 1164127908 |
|---|---|
| Doing Business As | EVERGREEN CLINICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SHAWN CONN CEO 606-879-1397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |