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Organization
EVERGREEN BEHAVIORAL HEALTH INC.
Active
Organization
EVERGREEN BEHAVIORAL HEALTH INC.
Active
Other names
Evergreen Behavioral Health Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MESSER CAP, ICADC (CEO)
(386) 487-9979
Entity
Organization
Contact information
Practice address
1206 SW MAIN BLVD STE 103, LAKE CITY, FL 32025-6603
(386) 487-9979
(386) 487-9979
Mailing address
1206 SW MAIN BLVD STE 103, LAKE CITY, FL 32025-6603
(386) 487-9979
(386) 487-9979
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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