Evergreen Meadow Services INC

NPI #1760240493 in Ferndale, New York

Provider Information

NPI Number
1760240493
Entity Type
Organization
Organization Name
Evergreen Meadow Services INC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Mar 7, 2024
Last Updated
Mar 7, 2024

Practice Location

Address
111 SULLIVAN AVE STE 2-5
ZIP Code
12734-4317
Phone
(833) 346-4968

Authorized Official

Name
MS. ADRIENNE JENSEN
Title
EXECUTIVE DIRECTOR
Phone
(833) 346-4968

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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