Organization
EVERGREEN MENTAL HEALTH SERVICES, INC.
Active
Other names
Life Skills/Rockville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARTON PAUL AZWALINSKY (CEO)
(301) 251-4702
Entity
Organization
Contact information
Practice address
9318 GAITHER RD STE 220, GAITHERSBURG, MD 20877-1407
(240) 251-4702
(301) 251-4703
Mailing address
9318 GAITHER RD STE 220, GAITHERSBURG, MD 20877-1407
(240) 251-4702
(301) 251-4703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
07/21/2022
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