Evergreen Hope Center LLC

NPI #1417841065 in Crystal, Minnesota

Provider Information

NPI Number
1417841065
Entity Type
Organization
Organization Name
Evergreen Hope Center LLC
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Jun 6, 2025
Last Updated
Jun 6, 2025

Practice Location

Address
5701 KENTUCKY AVE N
ZIP Code
55428-3370
Phone
(763) 923-8817

Authorized Official

Name
DEO SHINDANO DEO
Title
OWNER
Phone
(763) 406-6111

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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