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Evergreen Manor - Residential 2
Substance Abuse Rehabilitation Facility in Everett, Washington
NPI 1093998312

Evergreen Manor - Residential 2 is a Substance Abuse Rehabilitation Facility based in Everett, WA. Evergreen Manor - Residential 2 practices in Everett, WA. The NPI Number for Evergreen Manor - Residential 2 is 1093998312 and holds a License No. 31-0108-02 (Washington).

The current practice location address for Evergreen Manor - Residential 2 is 2601 Summit Ave, Everett, WA and can be reached out via phone at 425-258-2407 and via fax at 425-339-2601.

Location: 2601 Summit Ave, Everett, WA, 98206-2598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093998312
Provider Name
Evergreen Manor - Residential 2
Credential
Provider Entity Type
Organization
Address
2601 Summit Ave, Everett, WA, 98206-2598
Phone Number
425-258-2407
Fax Number
425-339-2601
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1995109 05 WA
institution
Provider Business Practice Location Address Details
Address
2601 Summit Ave
City
Everett
State
Washington
Zip
98201-3309
Phone Number
425-258-2407
Fax Number
425-339-2601
person
Provider Business Mailing Address Details
Address
2601 Summit Ave
City
Everett
State
Washington
Zip
98201-3309
Phone Number
425-258-2407
Fax Number
425-339-2601
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
31-0108-02 (Washington)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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