| NPI | 1992134738 |
|---|---|
| Other Name | D/B/A EVERGREEN HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | PETER L. BEILENSON Chair Of The Board 443-475-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |