institution
Evergreen Manor Opt Lynwood
Substance Use Disorder Rehabilitation Clinic/Center in Lynnwood, Washington
NPI 1689705022

Evergreen Manor Opt Lynwood is a Substance Use Disorder Rehabilitation Clinic/Center based in Everett, WA and is specialized in Rehabilitation, Substance Use Disorder. Evergreen Manor Opt Lynwood practices in Lynnwood, WA. The NPI Number for Evergreen Manor Opt Lynwood is 1689705022 and holds a License No. 31-1336-00 (Washington).

The current practice location address for Evergreen Manor Opt Lynwood is 3810 196Th St Sw, Lynnwood, WA and can be reached out via phone at 425-248-4900 and via fax at 425-248-4703. You can also correspond with Evergreen Manor Opt Lynwood through the mailing address at PO BOX 12598, EVERETT, WA - 98206 (mailing address contact number: 425-258-2407).

Location: 3810 196Th St Sw, Lynnwood, WA, 98206
institution
Provider Profile Details
NPI Number
1689705022
Provider Name
Evergreen Manor Opt Lynwood
Credential
Provider Entity Type
Organization
Address
3810 196Th St Sw, Lynnwood, WA, 98206
Phone Number
425-248-4900
Fax Number
425-248-4703
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1995570 05 WA
institution
Provider Business Practice Location Address Details
Address
3810 196Th St Sw
City
State
Zip
98036
Phone Number
425-248-4900
Fax Number
425-248-4703
person
Provider Business Mailing Address Details
Address
Po Box 12598
City
State
Zip
98206
Phone Number
425-258-2407
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.
31-1336-00 (Washington)
Definition
Definition to come...
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