Evergreen Elm, Inc
Evergreen Elm, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bradford, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.
- Licensed in
- PA
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
71 Main St Ste 303Bradford, PA 16701-2029
Phone: (814) 362-6853
Fax: (814) 362-1048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 426070 (PA) |
|---|
Record details
| NPI number | 1598936528 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Garry Pugrant — Ceo · (814) 362-6853 |
| NPI enumerated | March 18, 2008 |
| Last updated in NPPES | March 18, 2008 |
| Mailing address | 71 Main Street, Suite 303, Bradford, PA 16701-2029 |
Other providers in Bradford
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Ramsbottom Center, Inc
241 Congress St, Bradford, PA 16701-2337 · (814) 817-1400