| NPI | 1407403611 |
|---|---|
| Doing Business As | EVREGREEN, HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | ERIN BAKER Accounts Coordinator 207-662-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |