# EVERGREEN ROAD FACILITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Care Focus, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043409584
- **Authorized official:** MR. DUANE BRICKHOUSE (CONTROLLER)
- **Authorized official phone:** (410) 910-1489

## Contact information

- **Practice address:** 827 EVERGREEN RD, ROCKY MOUNT, NC 27803-2426
- **Practice address phone:** (252) 446-8675
- **Mailing address:** 7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 064-079 | NC | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 10/22/2007