| Evergreen Treatment Services Llc | |
|
2120 Pulaski Hwy Havre De Grace MD 21078-2127 | |
| (443) 760-1754 | |
| Not Available |
| Full Name | Evergreen Treatment Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2120 Pulaski Hwy, Havre De Grace, Maryland |
| Authorized Official Name and Position | Erica Marie Parker (OWNER) |
| Authorized Official Contact | 4102739300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Treatment Services Llc 7 Guinevere Ct Rosedale MD 21237-4030 Ph: (443) 760-1754 | Evergreen Treatment Services Llc 2120 Pulaski Hwy Havre De Grace MD 21078-2127 Ph: (443) 760-1754 |
| NPI Number | 1447730890 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 05/29/2026 |
| Certification Date | 05/29/2026 |
| Medicare PECOS PAC ID | 6608281274 |
|---|---|
| Medicare Enrollment ID | O20211014000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447730890 | NPI | - | NPPES |
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