| Evergreen Family Services Llc | |
|
1371 Sageberry Dr Santaquin UT 84655-5622 | |
| (385) 392-5605 | |
| Not Available |
| Full Name | Evergreen Family Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1371 Sageberry Dr, Santaquin, Utah |
| Authorized Official Name and Position | Erika Cain (OWNER) |
| Authorized Official Contact | 3853925605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Family Services Llc 1371 Sageberry Dr Santaquin UT 84655-5622 Ph: (385) 392-5605 | Evergreen Family Services Llc 1371 Sageberry Dr Santaquin UT 84655-5622 Ph: (385) 392-5605 |
| NPI Number | 1013717859 |
|---|---|
| Provider Enumeration Date | 03/18/2025 |
| Last Update Date | 03/18/2025 |
| Certification Date | 03/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013717859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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