OrganizationActive
Evergreen Hope Center LLC
NPI 1417841065 · Adolescent and Children Mental Health Clinic/Center · Crystal, MN
Provider details
- NPI number
- 1417841065
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deo Shindano Deo, Owner(763) 406-6111
Specialties & taxonomies
Ambulatory Health Care Facilities
- Early Intervention Provider Agency252Y00000X
Agencies
Practice location
5701 Kentucky Ave N
Crystal, MN 55428-3370
Phone: (763) 923-8817
Approximate (ZIP-level) locationGet directions
Mailing address
5701 Kentucky Ave N
Crystal, MN 55428-3370
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2025-06-06
- Certified
- 2025-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.