Evergreen Behavioral Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Farmington, ME. Organization (NPI-2).
NPI number1124101464
StatusActive
Last updated in NPPESMay 3, 2016
Details
- NPI
- 1124101464
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen Behavioral Services
- Organization subpart
- Yes
- Enumeration date
- Oct 23, 2006
- Last updated
- May 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 227282 | ME | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 221361 | ME |
Practice location
131 Franklin Health CommonsSuite A Mt Blue Health Center
Farmington, ME 04938
Phone 207-778-0035 · Fax 207-778-6879
Mailing address
131 Franklin Health CommonsSuite A
Farmington, ME 04938
Phone 207-778-0035 · Fax 207-778-6879
Authorized official
Julie Welch
Office Manager
2077780035
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