EVERGREEN MANOR OPT EVERETT NPI 1124159157

NPI Information

EVERGREEN MANOR OPT EVERETT is a rehabilitation and substance use disorder clinic center in Everett, WA. EVERGREEN MANOR OPT EVERETT NPI is 1124159157. The provider is registered as an organization entity type.

The provider's business location address is:

2932 HOYT AVE
EVERETT, WA
ZIP 98201-003
Phone: (425) 259-5842
Fax: (425) 339-2601

The provider's authorized official is Linda K Grant .
The authorized official title is Executive Director and has the following contact phone number (425) 258-2407.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 10/30/2007.

Taxonomy Codes

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Other Identifiers

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