Evergreen Health Care | |
7501 Greenway Center Dr Building 3, Suite 600 Greenbelt MD 20770-3514 | |
(240) 542-0170 | |
Not Available |
Full Name | Evergreen Health Care |
---|---|
Speciality | Counselor |
Location | 7501 Greenway Center Dr, Greenbelt, Maryland |
Authorized Official Name and Position | Jessica L Kohnen (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4434514973 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evergreen Health Care 3000 Falls Rd Suite 1 Baltimore MD 21211-2474 Ph: () - | Evergreen Health Care 7501 Greenway Center Dr Building 3, Suite 600 Greenbelt MD 20770-3514 Ph: (240) 542-0170 |
NPI Number | 1194113563 |
---|---|
Provider Enumeration Date | 01/07/2015 |
Last Update Date | 01/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194113563 | NPI | - | NPPES |
5354021 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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