Evergreen Healthcare Treatment LLC
NPI #1669256079 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1669256079
- Entity Type
- Organization
- Organization Name
- Evergreen Healthcare Treatment LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 24, 2023
- Last Updated
- Aug 24, 2023
Practice Location
- Address
- 316 W PINNACLE RIDGE DR
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85140-7047
- Phone
- (860) 967-2388
Authorized Official
- Name
- MATILDA BOACHIE
- Title
- CEO
- Phone
- (860) 967-2388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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