| NPI | 1184429466 |
|---|---|
| Doing Business As | EVERGREEN MENTORSHIP |
| Entity Type | Organization |
| Authorized Contact | ZACHARY NORDYKE CEO 513-623-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |