Organization
EVERGREEN RECOVERY CENTERS
Active
Parent organization
EVERGREEN RECOVERY CENTERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN RECOVERY CENTERS
Authorized official
KATHY L KAIN (CHIEF QUALITY OFFICER)
(425) 343-4599
Entity
Organization
Contact information
Practice address
2732 GRAND AVE STE 101, EVERETT, WA 98201-3416
(425) 259-5842
(425) 339-2601
Mailing address
PO BOX 12598, EVERETT, WA 98206
(425) 258-2407
(425) 339-2601
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
31 1095 00
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1990746
—
WA
Enumeration date
03/09/2007
Last updated
05/16/2025
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