Evergreen Behavioral Management, Inc.

LBN: Evergreen Behavioral Management, Inc.
Evergreen Behavioral Management, Inc. is an health care organization with primary practice located at 416 Fairley St , Laurinburg NC 28352-3612. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Evergreen Behavioral Management, Inc. can be contacted via phone (910) 276-8545, or through Gore, Ginger G via phone (910) 640-5512.

Contact Information

Primary practice address
416 Fairley St Laurinburg NC 28352-3612
Phone: (910) 276-8545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gore, Ginger G
Phone: (910) 640-5512

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1528206174
LBN Legal business name Evergreen Behavioral Management, Inc.
DBA Doing business as
Authorized official Gore, Ginger G
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2009
Last updated Mar 31st, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528206174 NPPES
North Carolina MEDICAID 8302543

Popular Providers