| NPI | 1881239028 |
|---|---|
| Doing Business As | EVERGREEN NERODEVELOPMENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE BAIN Psychologist/Owner 425-753-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |