institution
Evergreen Group Home, Llc
Mental Health Counselor in Urbana, Missouri
NPI 1871638999

Evergreen Group Home, Llc is a Mental Health Counselor based in Urbana, MO and is specialized in Mental Health. Evergreen Group Home, Llc practices in Urbana, MO. The NPI Number for Evergreen Group Home, Llc is 1871638999 and holds a License No. 91438201670000 (Missouri).

The current practice location address for Evergreen Group Home, Llc is 27 Hopper Trl, Urbana, MO and can be reached out via phone at 417-722-4416 and via fax at 417-722-4417.

Location: 27 Hopper Trl, Urbana, MO, 65767-9234
institution
Provider Profile Details
NPI Number
1871638999
Provider Name
Evergreen Group Home, Llc
Credential
Provider Entity Type
Organization
Address
27 Hopper Trl, Urbana, MO, 65767-9234
Phone Number
417-722-4416
Fax Number
417-722-4417
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
27 Hopper Trl
City
State
Zip
65767-9234
Phone Number
417-722-4416
Fax Number
417-722-4417
person
Provider Business Mailing Address Details
Address
27 Hopper Trl
City
State
Zip
65767-9234
Phone Number
417-722-4416
Fax Number
417-722-4417
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
91438201670000 (Missouri)
Definition
Definition to come...
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