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Organization

EVERGREEN IN HOME MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEAH JONES SW (PROGRAM MANAGER)
(425) 899-6308
Entity
Organization

Contact information

Practice address
12040 NE 128TH ST, MS 74, KIRKLAND, WA 98034-3013
(425) 899-6300
(425) 899-6301
Mailing address
12040 NE 128TH ST, MS 74, KIRKLAND, WA 98034-3013
(425) 899-6300
(425) 899-6301

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LH 60152884
WA

Other

Enumeration date
04/05/2017
Last updated
04/05/2017
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