NPI 1154412492

Evergreen Behavioral Health Center, INC.

Organisation Case Management Agency New Martinsville, WV

Practice location

Address: 240 North St, New Martinsville, WV 26155-1771
Phone: (304) 455-4415
Fax: (304) 455-2501

Authorised official

Name: B. Mark Fetty
Title: Executive Director
Phone: (304) 455-4415

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 112 (WV)

Other Case Management providers in West Virginia →

Registry record

NPI: 1154412492
Entity type: Organization
NPI issued: 28 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.