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EVERGREEN RECOVERY CENTER NPI 1578008462


NPI Information

NPI: 1578008462
Provider Name: EVERGREEN RECOVERY CENTER
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
2601 SUMMIT AVE
EVERETT, WA
ZIP 98201
Phone: (425) 258-2407
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EVERGREEN RECOVERY CENTER is a substance abuse treatment and children substance abuse rehabilitation facility in Everett, WA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. EVERGREEN RECOVERY CENTER NPI is 1578008462. The provider is registered as an organization entity type.

The provider's business location address is:

2601 SUMMIT AVE
EVERETT, WA
ZIP 98201-309
Phone: (425) 258-2407

The provider's authorized official is Angela Lynn Pearson .
The authorized official title is Chemical Dependency Professional and has the following contact phone number (425) 322-0821.

The enumeration date for this NPI number is 12/30/2016 and was last updated on 12/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenCP60344301WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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