institution
Evergreen Manor Opt Everett
Substance Use Disorder Rehabilitation Clinic/Center in Everett, Washington
NPI 1124159157

Evergreen Manor Opt Everett is a Substance Use Disorder Rehabilitation Clinic/Center based in Everett, WA and is specialized in Rehabilitation, Substance Use Disorder. Evergreen Manor Opt Everett practices in Everett, WA. The NPI Number for Evergreen Manor Opt Everett is 1124159157 and holds a License No. 31 1095 00 (Washington).

The current practice location address for Evergreen Manor Opt Everett is 2932 Hoyt Ave, Everett, WA and can be reached out via phone at 425-259-5842 and via fax at 425-339-2601.

Location: 2932 Hoyt Ave, Everett, WA, 98206
institution
Provider Profile Details
NPI Number
1124159157
Provider Name
Evergreen Manor Opt Everett
Credential
Provider Entity Type
Organization
Address
2932 Hoyt Ave, Everett, WA, 98206
Phone Number
425-259-5842
Fax Number
425-339-2601
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1990746 05 WA
institution
Provider Business Practice Location Address Details
Address
2932 Hoyt Ave
City
State
Zip
98201-4003
Phone Number
425-259-5842
Fax Number
425-339-2601
person
Provider Business Mailing Address Details
Address
2932 Hoyt Ave
City
State
Zip
98201-4003
Phone Number
425-259-5842
Fax Number
425-339-2601
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
31 1095 00 (Washington)
Definition
Definition to come...
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