Evergreen Therapeutic Treatment Centers LLC
NPI #1720665987 in Parkersburg, West Virginia
Provider Information
- NPI Number
- 1720665987
- Entity Type
- Organization
- Organization Name
- Evergreen Therapeutic Treatment Centers LLC
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Mar 25, 2021
- Last Updated
- Mar 25, 2021
Practice Location
- Address
- 110 PARK CENTER DR
- City
- Parkersburg
- State
- West Virginia
- ZIP Code
- 26101-1929
- Phone
- (419) 733-3889
Authorized Official
- Name
- JAMIE TUTTLE, LPCC-S
- Title
- CHIEF EXECUTIVE OF OPERATIONS
- Phone
- (419) 733-3889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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