EVERGREEN HEALTHCARE TREATMENT LLC
NPI 1669256079
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Tan Valley, AZ
About Evergreen Healthcare Treatment Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN HEALTHCARE TREATMENT LLC (NPI 1669256079) is a healthcare organization registered as a mental health (including community mental health center) in San Tan Valley, Arizona and active in the NPI registry since August 2023. The organization lists Matilda Boachie, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN TAN VALLEY, AZ 85140
SAN TAN VALLEY, AZ 85140
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Evergreen Healthcare Treatment LLC's NPI number?
The NPI number for Evergreen Healthcare Treatment LLC is 1669256079. It was assigned to this organization in the NPPES registry on August 24, 2023.
Where is Evergreen Healthcare Treatment LLC located?
Evergreen Healthcare Treatment LLC is located at 316 W Pinnacle Ridge Dr, San Tan Valley, AZ 85140. The listed phone number is (860) 967-2388.
What is Evergreen Healthcare Treatment LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Evergreen Healthcare Treatment LLC was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Evergreen Healthcare Treatment Llc · NPI 1669256079
Mental Health (Including Community Mental Health Center) organization in San Tan Valley, Arizona. Organization record, active in the CMS NPPES registry since August 24, 2023.
## Identity
- **NPI:** 1669256079 (Entity type: Organization)
- **Enumerated:** August 24, 2023
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Matilda Boachie, CEO
## Practice location
- **Address:** 316 W PINNACLE RIDGE DR, San Tan Valley, AZ 85140-7047
- **Phone:** (860) 967-2388
## Record status
- **NPPES last updated:** August 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669256079) · Data from the CMS NPPES public registry.