Evergreen Recovery, Llc

LBN: Evergreen Recovery, Llc
Evergreen Recovery, Llc is an health care organization with primary practice located at 9637 Liberty Rd Ste G , Randallstown MD 21133-2452. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Evergreen Recovery, Llc can be contacted via phone (443) 826-8204, or through Beasley, Shanazar D via phone (443) 826-8204.

Contact Information

Primary practice address
9637 Liberty Rd Ste G Randallstown MD 21133-2452
Phone: (443) 826-8204
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beasley, Shanazar D
Phone: (443) 826-8204

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1447023270
LBN Legal business name Evergreen Recovery, Llc
DBA Doing business as
Authorized official Beasley, Shanazar D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2023
Last updated Nov 2nd, 2023 - about 2 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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