| NPI | 1689615874 |
|---|---|
| Doing Business As | EVERGREEN CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUDITH NEAL SMITH Proprietor 406-756-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |