institution
Evergreen Manor Residential
Substance Abuse Rehabilitation Facility in Everett, Washington
NPI 1215067319

Evergreen Manor Residential is a Substance Abuse Rehabilitation Facility based in Everett, WA. Evergreen Manor Residential practices in Everett, WA. The NPI Number for Evergreen Manor Residential is 1215067319 and holds a License No. 31 0108 01 (Washington).

The current practice location address for Evergreen Manor Residential 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
institution
Provider Profile Details
NPI Number
1215067319
Provider Name
Evergreen Manor Residential
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
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1995133 05 WA
institution
Provider Business Practice Location Address Details
Address
2601 Summit Ave
City
State
Zip
98201
Phone Number
425-258-2407
Fax Number
425-339-2601
person
Provider Business Mailing Address Details
Address
2601 Summit Ave
City
State
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
License No.
31 0108 01 (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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