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Evergreen Manor Detox
Substance Abuse Rehabilitation Facility in Everett, Washington
NPI 1205965159

Evergreen Manor Detox is a Substance Abuse Rehabilitation Facility based in Everett, WA. Evergreen Manor Detox practices in Everett, WA. The NPI Number for Evergreen Manor Detox is 1205965159 and holds a License No. 31089100 (Washington).

The current practice location address for Evergreen Manor Detox 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205965159
Provider Name
Evergreen Manor Detox
Credential
Provider Entity Type
Organization
Address
2601 Summit Ave, Everett, WA, 98206
Phone Number
425-258-2407
Fax Number
425-339-2601
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1994177 05 WA
institution
Provider Business Practice Location Address Details
Address
2601 Summit Ave
City
Everett
State
Washington
Zip
98201
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
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.
31089100 (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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2601 Summit Ave,
EVERETT, WA
98201
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