Organization
EVERGREEN ACTT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENTON BLAKE BYRD (OWNER)
(910) 641-0600
Entity
Organization
Contact information
Practice address
1409 PINCKNEY ST, WHITEVILLE, NC 28472-2220
(910) 641-0600
(910) 641-0606
Mailing address
PO BOX 425, 1409 PINCKNEY STREET, WHITEVILLE, NC 28472-0425
(910) 641-0600
(910) 641-0606
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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