Evergreen Treatment Services LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

EVERGREEN TREATMENT SERVICES LLC

Practice address

2120 Pulaski Hwy
Havre de Grace, MD 21078-2127

Phone

(443) 760-1754

NPI assigned

Aug 15, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erica Marie Parker, CSC-AD

Title

Owner

Phone

(410) 273-9300

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Opioid treatment program

Medicare-enrolled since Jun 26, 2021

Enrollment records 1

Tax ID family

Evergreen Treatment Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evergreen Treatment Services LLC

  • Adult Mental Health Clinic/Center
  • Havre de Grace, MD
  • NPI 1508792649
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Evergreen Treatment Services LLC

  • Adult Mental Health Clinic/Center
  • Havre de Grace, MD
  • NPI 1508792649
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Gater, CSC- AD

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
  • NPI 1497047328
  NPD
• Randal A Steele, D.O.

  • Family Medicine Physician
  • Darlington, MD
  • NPI 1811969835
  NPD
• Matt Wachsman, MD PHD

  • Internal Medicine Physician
  • Havre de Grace, MD
  • NPI 1831225606
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1447730890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GUINEVERE CT",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374030",
            "telephone_number": "443-760-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PULASKI HWY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782127",
            "telephone_number": "443-760-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN TREATMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-273-9300",
        "authorized_official_credential": "CSC-AD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Gorleski a Professional Medical Corporation
• Ernest Gorleski a Professional Medical Corporation
• Allen Oscar Ernst II, LMT
• Nunzia Lucia Esposito
• Brian Evans, P.T., D.P.T.
• Evergreen Treatment Services LLC
• Fa3 Health Services LLC
• Doris Stacy Fair, LCPC
• Shelby Grace Fallon
• Najiah Faour, D.P.M

• Methadone Clinic in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Methadone Clinic in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.