Organization
EVERGREEN HEALTH AND WELLNES GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BELL (MANAGER)
(609) 586-9050
Entity
Organization
Contact information
Practice address
136 FRANKLIN CORNER ROAD, LAWRENCVILLE, NJ 08648
(609) 586-9050
Mailing address
136 FRANKLIN CORNER ROAD, LAWRENCVILLE, NJ 08648
(609) 586-9050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
07/28/2008
Last updated
08/26/2008
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