Evergreen Behavioral Management Inc
LBN: Evergreen Behavioral Management Inc
Evergreen Behavioral Management Inc is an health care organization with primary practice located at 1409 Pinckney St , Whiteville NC 28472-2220. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Evergreen Behavioral Management Inc can be contacted via phone (910) 641-0600, or through Gore, Ginger G. via phone (910) 641-0600.
Contact Information
Primary practice address
1409 Pinckney St
Whiteville NC 28472-2220
Phone: (910) 641-0600
Fax: (910) 641-0606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1790860971 |
|---|---|
| LBN Legal business name | Evergreen Behavioral Management Inc |
| DBA Doing business as | |
| Authorized official | Gore, Ginger G. CEO OWNER OF COMPANY |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | May 16th, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790860971 | NPPES |
| North Carolina | MEDICAID | 89015VM | |
| North Carolina | MEDICAID | 6005966 |
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