Organization
EVERGREEN RECOVERY CENTERS
Active
Parent organization
EVERGREEN MANOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN MANOR
Authorized official
KATHY L KAIN (CHIEF QUALITY OFFICER)
(425) 343-4599
Entity
Organization
Contact information
Practice address
2601 SUMMIT AVE, EVERETT, WA 98201
(425) 258-2407
(425) 339-2601
Mailing address
PO BOX 12598, EVERETT, WA 98206
(425) 258-2407
(425) 339-2601
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
31 0108 01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995133
—
WA
Enumeration date
03/07/2007
Last updated
05/16/2025
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