Evergreen Recovery

LBN: Evergreen Recovery
Evergreen Recovery is an health care organization with primary practice located at 1400 Energy Park Dr Suite 21, Saint Paul MN 55108-5272. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Evergreen Recovery can be contacted via phone (651) 252-6070, or through Backus, David via phone (651) 252-6070.

Contact Information

Primary practice address
1400 Energy Park Dr Suite 21 Saint Paul MN 55108-5272
Phone: (651) 252-6070
Fax: (651) 252-6071
Website:
Map and Directions
Authorized official contact:
Name: Backus, David
Phone: (651) 252-6070

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303683 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303672 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304003 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 1204 Minnesota
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1992152821
LBN Legal business name Evergreen Recovery
DBA Doing business as
Authorized official Backus, David
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2016
Last updated Mar 11th, 2020 - about 4 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.

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