| Evergreen Actt, Inc. | |
|
1409 Pinckney St Whiteville NC 28472-2220 | |
| (910) 641-0600 | |
| (910) 641-0606 |
| Full Name | Evergreen Actt, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1409 Pinckney St, Whiteville, North Carolina |
| Authorized Official Name and Position | Brenton Blake Byrd (OWNER) |
| Authorized Official Contact | 9106410600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Actt, Inc. Po Box 425 1409 Pinckney Street Whiteville NC 28472-0425 Ph: (910) 641-0600 | Evergreen Actt, Inc. 1409 Pinckney St Whiteville NC 28472-2220 Ph: (910) 641-0600 |
| NPI Number | 1073763256 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073763256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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