Evergreen Recovery, LLC
NPI #1487463956 in Randallstown, Maryland
Provider Information
- NPI Number
- 1487463956
- Entity Type
- Organization
- Organization Name
- Evergreen Recovery, LLC
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health, Adult
- Enumeration Date
- Dec 30, 2024
- Last Updated
- Dec 30, 2024
Practice Location
- Address
- 9637 LIBERTY RD STE G
- City
- Randallstown
- State
- Maryland
- ZIP Code
- 21133-2452
- Phone
- (443) 413-0468
Authorized Official
- Name
- SHANAZAR BEASLEY
- Title
- CEO
- Phone
- (443) 413-0468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult |
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