NPI | 1194113563 |
---|---|
Doing Business As | EVERGREEN HEALTH CARE |
Entity Type | Organization |
Authorized Contact | JESSICA L KOHNEN Executive Director 443-451-4973 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Enumeration Date | 2015-01-07 |
Last Update Date | 2015-01-07 |