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Organization
EVERNORTH BEHAVIORAL CARE GROUP OF CALIFORNIA, P.C.
Active
Organization
EVERNORTH BEHAVIORAL CARE GROUP OF CALIFORNIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH NELSON (LEGAL COUNSEL)
(843) 540-7108
Entity
Organization
Contact information
Practice address
255 TECHNOLOGY PARK, LAKE MARY, FL 32746-6211
(877) 501-7991
Mailing address
625 MARKET ST FL 15, SAN FRANCISCO, CA 94105-3316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
09/05/2023
Last updated
12/07/2023
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