| NPI | 1730860107 |
|---|---|
| Other Name | EVERGREEN CROSSING CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW B MENDENHALL President & CEO 413-584-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-10-04 |