Evergreen Presbyterian Ministries, Inc.

NPI #1376991570 in Hammond, Louisiana

Provider Information

NPI Number: 1376991570
Entity Type: Organization
Organization Name: Evergreen Presbyterian Ministries, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 27, 2016
Last Updated: May 27, 2016

Practice Location

Address: 15822 DEMARCO LANE
City: Hammond
State: Louisiana
ZIP Code: 70403
Phone: (985) 386-2360

Authorized Official

Name: MR. MERLON KENT CRAFT
Title: EXECUTIVE VICE PRESIDENT / CFO
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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