Evergreen Presbyterian Ministries of East Tn

NPI #1508984972 in Knoxville, Tennessee

Provider Information

NPI Number: 1508984972
Entity Type: Organization
Organization Name: Evergreen Presbyterian Ministries of East Tn
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1304 WILSON RD
Address 2: SUITE 105
City: Knoxville
State: Tennessee
ZIP Code: 37912-5693
Phone: (865) 689-4022

Authorized Official

Name: JOHN R TAYLOR
Title: PRESIDENT
Phone: (318) 742-8440

Specialties & Taxonomy Codes

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

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