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EVERGREEN FUND NPI 1386399335


NPI Information

NPI: 1386399335
Provider Name: EVERGREEN FUND

Doing Business As: RED DOOR LIFE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
14475 MULHOLLAND DR
LOS ANGELES, CA
ZIP 90077
Phone: (424) 242-2760
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EVERGREEN FUND is a substance abuse rehabilitation facility in Los Angeles, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. EVERGREEN FUND NPI is 1386399335. The provider is registered as an organization entity type.
The provider Is Doing Business As Red Door Life.

The provider's business location address is:

14475 MULHOLLAND DR
LOS ANGELES, CA
ZIP 90077-733
Phone: (424) 242-2760

The provider's authorized official is Alexander David Shohet .
The authorized official title is N/s and has the following contact phone number (323) 899-9115.

The enumeration date for this NPI number is 2/18/2022 and was last updated on 3/4/2022.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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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