Organization · Type 2 NPI
Evergreen Home Care, LLC
Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
NPI number
1295328110
Active
Practice location
2529 W Darrel Rd
Phoenix, AZ 85041-6457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1295328110
Evergreen Home Care, LLC's National Provider Identifier is 1295328110, issued on Feb 11, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 11, 2021.