4 Evergreen Recovery Homes And Services
Substance Abuse Rehabilitation Facility in Baltimore, MD. Organization (NPI-2).
NPI number1831905348
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1831905348
- Entity type
- Organization (NPI-2)
- Legal business name
- 4 Evergreen Recovery Homes And Services
- Organization subpart
- No
- Enumeration date
- Dec 9, 2024
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 174200000X | Meals | – | – | |
| 177F00000X | Lodging | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – |
Practice location
3210 Vickers RdBaltimore, MD 21216-1940
Phone 443-924-3754
Mailing address
3210 Vickers RdBaltimore, MD 21216-1940
Phone 443-924-3754
Authorized official
Coblah Q Green
Owner
4439085858
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Substance Abuse Rehabilitation Facility providers in Baltimore, MD
- 1st Alliance Behavioral Health & Wellness Center LLCNPI 1730905670
- 2 God B The Glory, INC.NPI 1295206787
- 4 2 Restore LLCNPI 1336751866
- A Balanced Perspective LLCNPI 1811718307
- A K T Healthcare IncorporatedNPI 1801442249
- A Mother'S Touch Supportive Housing & CounselingNPI 1679068787
- A Place Of GraceNPI 1467382432
- A Place Of GraceNPI 1164352134
- A Place Of GraceNPI 1285540633
- A Place Of GraceNPI 1053227405
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.