EVERGREEN RECOVERY CENTERS-LYNNWOOD DETOX – NPI #1588184980
Substance Abuse 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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

EVERGREEN RECOVERY CENTERS-LYNNWOOD DETOX is a substance abuse rehabilitation facility located in LYNNWOOD, WA. NPPES has assigned the NPI number 1588184980 to EVERGREEN RECOVERY CENTERS-LYNNWOOD DETOX on June 27, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on May 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN RECOVERY CENTERS-LYNNWOOD DETOX below.

NPI Profile for
EVERGREEN RECOVERY CENTERS-LYNNWOOD DETOX

NPI Number
1588184980
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERGREEN RECOVERY CENTERS-LYNNWOOD DETOX
Primary location
20508 56TH AVE W
LYNNWOOD, WA 98036
Phone: (425) 678-1390 Fax: (425) 678-8611
Mailing address
PO BOX 12598
EVERETT, WA 98206
Phone: (425) 493-5310 Fax: (425) 263-9706
Organization Subpart
Yes - EVERGREEN RECOVERY CENTERS-LYNNWOOD DETOX is subpart of another organization.
Authorized Official
KATHY KAIN
CHIEF QUALITY OFFICER
Phone: (425) 343-4599
Updated
Certification Date
May 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.