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Organization
EVERGREEN BEHAVIORAL MANAGEMENT OF GEORGIA, INC.
Active
Organization
EVERGREEN BEHAVIORAL MANAGEMENT OF GEORGIA, INC.
Active
Parent organization
EVERGREEN BEHAVIORAL MANAGEMENT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN BEHAVIORAL MANAGEMENT, INC.
Authorized official
MS. GINGER G GORE (CEO)
(910) 641-0600
Entity
Organization
Contact information
Practice address
8657 HOSPITAL DR, SUITE 101 A, DOUGLASVILLE, GA 30134-2298
(770) 949-3118
(770) 949-3228
Mailing address
PO BOX 425, WHITEVILLE, NC 28472-0425
(910) 641-0600
(910) 641-4178
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
GA
Other
Enumeration date
07/10/2007
Last updated
07/22/2008
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