National Provider Identifier Database

EVERGREEN FUND
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

EVERGREEN FUND
14475 MULHOLLAND DR
LOS ANGELES, CA90077-1733
Phone: 424-242-2760
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for EVERGREEN FUND

NPI Number 1386399335
Legal business name
LBN
EVERGREEN FUND
Authorized official ALEXANDER SHOHET - (N/S)
Entity Organization
Organization subpart No
Enumeration date 02/18/2022
Last updated 03/04/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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