| NPI | 1376169490 |
|---|---|
| Doing Business As | EVERGREEN HOLISTIC LEARNING CENTER |
| Entity Type | Organization |
| Authorized Contact | ZACHARY W NORDYKE Board Member 513-623-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |