Evergreen Presbyterian Ministries, Inc.

NPI #1154932622 in Haughton, Louisiana

Provider Information

NPI Number: 1154932622
Entity Type: Organization
Organization Name: Evergreen Presbyterian Ministries, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 10, 2020
Last Updated: Aug 10, 2020

Practice Location

Address: 2101 HIGHWAY 80
City: Haughton
State: Louisiana
ZIP Code: 71037-9488
Phone: (318) 949-5515

Authorized Official

Name: MERLON KENT CRAFT
Title: EXECUTIVE VP OF ADMINISTRATION / CF
Phone: (318) 949-5515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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