| Evergreen Bh Llc | |
|
707 Sable Oaks Dr South Portland ME 04106-6953 | |
| (978) 609-8426 | |
| Not Available |
| Full Name | Evergreen Bh Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 707 Sable Oaks Dr, South Portland, Maine |
| Authorized Official Name and Position | Casey Orkney (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9786098426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Bh Llc 707 Sable Oaks Dr South Portland ME 04106-6953 Ph: () - | Evergreen Bh Llc 707 Sable Oaks Dr South Portland ME 04106-6953 Ph: (978) 609-8426 |
| NPI Number | 1407643125 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407643125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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