National Provider Identifier Database

EVERGREEN BEHAVIORAL LLC
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 BEHAVIORAL LLC
53 CUMMINGS PARK
WOBURN, MA01801-2123
Phone: 339-999-2722
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for EVERGREEN BEHAVIORAL LLC

NPI Number 1609355668
Legal business name
LBN
EVERGREEN BEHAVIORAL LLC
Authorized official PIERCE ALIBERTI - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/10/2018
Last updated 08/10/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 0212

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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