| NPI | 1669860151 |
|---|---|
| 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 | 2015-01-06 |
| Last Update Date | 2015-01-06 |