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Evergreen Behavorial Health

Community/Behavioral Health in Lumberton, NC. Organization (NPI-2).

NPI number1114115342
StatusActive
Last updated in NPPESDec 6, 2007

Details

NPI
1114115342
Entity type
Organization (NPI-2)
Legal business name
Evergreen Behavorial Health
Organization subpart
No
Enumeration date
Oct 12, 2007
Last updated
Dec 6, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Healthc005843NCYes

Practice location

220 Wintergreen Dr
Lumberton, NC 28358-2188

Phone 910-738-9420 · Fax 910-671-9414

Mailing address

220 Wintergreen Dr
Lumberton, NC 28358-2188

Phone 910-738-9420 · Fax 910-671-9414

Authorized official

Margaret Wolstenholme
Lcsw
9107389420

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