# EVERGREEN BEHAVIORAL MANAGEMENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVERGREEN BEHAVIORAL MANAGEMENT, INC.
- **Other names:** Murchison House
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538311972
- **Legal business name:** EVERGREEN BEHAVIORAL MANAGEMENT, INC.
- **Authorized official:** MS. GINGER GAYLE GORE (CEO)
- **Authorized official phone:** (910) 641-0600

## Contact information

- **Practice address:** 1686 SAM POTTS HWY, HALLSBORO, NC 28442-9458
- **Practice address phone:** (910) 640-1456
- **Practice address fax:** (910) 640-1423
- **Mailing address:** PO BOX 425, WHITEVILLE, NC 28472-0425
- **Mailing address phone:** (910) 641-0600
- **Mailing address fax:** (910) 641-0606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL024073 | NC | Yes |

## Other

- **Enumeration date:** 10/16/2008
- **Last updated:** 10/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603474 | — | NC |