Organization
EVERGREEN BEHAVIORAL MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER G. GORE CEO OWNER OF COMPANY (CEO)
(910) 641-0600
Entity
Organization
Contact information
Practice address
1409 PINCKNEY ST, WHITEVILLE, NC 28472-2220
(910) 641-0600
(910) 641-0606
Mailing address
PO BOX 425, WHITEVILLE, NC 28472-0425
(910) 641-0600
(910) 641-0606
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005966
—
NC
05
—
89015VM
—
NC
Enumeration date
10/26/2006
Last updated
05/16/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us