Organization · NPI-2

Evergreen Psychotherapy Apc

Clinic/Center, Adult Mental Health · Mountain View, CA

NPI number1174218358
StatusActive
Last updated in NPPESApr 5, 2023

Details

NPI
1174218358
Entity type
Organization (NPI-2)
Legal business name
Evergreen Psychotherapy Apc
Organization subpart
No
Enumeration date
Apr 5, 2023
Certification date
Apr 5, 2023
Last updated
Apr 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

1580 W El Camino Real Ste 2
Mountain View, CA 94040-2461

Phone 740-707-0488

Mailing address

1030 E El Camino Real # 362
Sunnyvale, CA 94087-3759

Phone 740-707-0488

Authorized official

Akanksha Srivastav
Chief Executive Officer
6692827234

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