EVERGREEN TREATMENT SERVICES LLC (NPI# 1447730890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447730890 |
| Entity Type | Organization |
| Organization Name | EVERGREEN TREATMENT SERVICES LLC |
| Practice Address |
2120 Pulaski Hwy Havre De Grace MD 21078-2127 |
| Mailing Address |
7 Guinevere Ct Rosedale MD 21237-4030 |
| Practice Telephone | 4437601754 |
| Mailing Telephone | 4437601754 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | ERICA MARIE GATER (OWNER) |
| Authorized Official Telephone | 4437601754 |
| Authorized Official Credential | CSC-AD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Street Address |
2120 PULASKI HWY |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
| Find all providers in zip 21078 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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| 1538700372 | Open Arms & Hearts Health Services, LLC | Clinic/Center | 1532 Ocean Hwy Unit 101104, Pocomoke City, MD 21851-3023 | 2019-10-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1396300398 | Bel Air Recovery Center, LLC | Clinic/Center | 2014 S Tollgate Rd Ste 106, Bel Air, MD 21015-5906 | 2019-05-06 |
| 1194295840 | Genesis Treatment Services, LLC | Clinic/Center | 1160 W Patrick St, Frederick, MD 21703-3962 | 2018-11-26 |
| 1386128387 | Veni Vidi Vici Treatment Services, LLC. | Clinic/Center | 4b North Ave Ste 302, Bel Air, MD 21014-2304 | 2018-09-17 |
| 1659861607 | Winchester Health LLC | Clinic/Center | 1315 Bloomingdale Rd, Baltimore, MD 21216-3922 | 2018-05-15 |
| 1083102511 | Riverside Treatment Services Lansdowne, LLC | Clinic/Center | 1903 Lansdowne Rd, Lansdowne, MD 21227-1707 | 2018-04-30 |
| 1568960854 | Wicomico County Health Department | Clinic/Center | 203 Newton St, Salisbury, MD 21801-5452 | 2018-02-01 |
| Find all providers with the same taxonomy | ||||
| City | HAVRE DE GRACE |
| Zip Code | 21078 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.