4 Evergreen Recovery Homes and Services
4 Evergreen Recovery Homes and Services is a Meals Provider in Baltimore, Maryland. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 7
Practice location Address checks out
3210 Vickers RdBaltimore, MD 21216-1940
Phone: (443) 924-3754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|---|
| Meals Provider | Taxonomy 174200000X |
| Lodging Provider | Taxonomy 177F00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Health Service Clinic/Center | Taxonomy 261QH0100X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
Record details
| NPI number | 1831905348 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Coblah Green — Owner · (443) 908-5858 |
| NPI enumerated | December 9, 2024 |
| Last updated in NPPES | December 9, 2024 |
| Certification date | December 9, 2024 |
| Mailing address | 3210 Vickers Rd, Baltimore, MD 21216-1940 |
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