| NPI | 1700553385 |
|---|---|
| Doing Business As | EVERGREEN THERAPY |
| Entity Type | Organization |
| Authorized Contact | DENISE FOURNIER Owner 305-814-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |