| NPI | 1508911777 |
|---|---|
| Other Name | EVERGREEN TREATMENT SERVICES, UNIT 1 |
| Entity Type | Organization |
| Authorized Contact | MARGARET CARNEY Executive Director 206-223-3644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: WA 17 0163 00) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-01-02 |