Evergreen Community Supports, LLC
NPI #1154653897 in Stanton, Kentucky
Provider Information
- NPI Number
- 1154653897
- Entity Type
- Organization
- Organization Name
- Evergreen Community Supports, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 5, 2010
- Last Updated
- Feb 5, 2010
Practice Location
Authorized Official
- Name
- MS. DEANA CAROL PACK
- Title
- EXECUTIVE DIRECTOR
- Phone
- (859) 644-2584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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