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Evergreen Behavioral Management, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Chadbourn, North Carolina
NPI 1588816789

Evergreen Behavioral Management, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Whiteville, NC. Evergreen Behavioral Management, Inc. practices in Chadbourn, NC. The NPI Number for Evergreen Behavioral Management, Inc. is 1588816789 and holds a License No. MHL024074 (North Carolina).

The current practice location address for Evergreen Behavioral Management, Inc. is 5794 Old Highway 74, Chadbourn, NC and can be reached out via phone at 910-654-3591 and via fax at 910-654-3591.

Location: 5794 Old Highway 74, Chadbourn, NC, 28472-0425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588816789
Provider Name
Evergreen Behavioral Management, Inc.
Credential
Provider Entity Type
Organization
Address
5794 Old Highway 74, Chadbourn, NC, 28472-0425
Phone Number
910-654-3591
Fax Number
910-654-3591
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603239 05 NC
institution
Provider Business Practice Location Address Details
Address
5794 Old Highway 74
City
Chadbourn
State
North Carolina
Zip
28431-6779
Phone Number
910-654-3591
Fax Number
910-654-3591
person
Provider Business Mailing Address Details
Address
5794 Old Highway 74
City
Chadbourn
State
North Carolina
Zip
28431-6779
Phone Number
910-654-3591
Fax Number
910-654-3591
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL024074 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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