Organization
EVERGREEN AT NORTHPOINT LLC
Active
Other names
Northpoint Seattle, Imagine by Northpoint Seattle, Imagine by Northpoint Spokane
Organization subpart
No
Provider details
NPI number
Authorized official
AMY YOCUM (CONTRACTING/CREDENTIALING MANAGER)
(208) 810-2680
Entity
Organization
Contact information
Practice address
2111 N NORTHGATE WAY STE 101, SEATTLE, WA 98133-9018
(206) 309-3740
(206) 260-0020
Mailing address
3515 E OVERLAND RD, MERIDIAN, ID 83642-6757
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/01/2017
Last updated
10/01/2025
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