Organization
EVERGREEN BEHAVIORAL MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINGER G. GORE (CEO)
(910) 641-0600
Entity
Organization
Contact information
Practice address
1409 PINCKNEY ST, WHITEVILLE, NC 28472-2220
(910) 640-5512
(910) 641-0606
Mailing address
1409 PINCKNEY ST, WHITEVILLE, NC 28472-2220
(910) 640-5512
(910) 641-0606
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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