Evergreen Presbyterian Ministries, Inc.

NPI #1679900476 in Sulphur, Louisiana

Provider Information

NPI Number: 1679900476
Entity Type: Organization
Organization Name: Evergreen Presbyterian Ministries, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 11, 2013
Last Updated: Oct 11, 2013

Practice Location

Address: 2108 DIVISION STREET
City: Sulphur
State: Louisiana
ZIP Code: 70663
Phone: (318) 949-5500

Authorized Official

Name: MERLON K CRAFT
Title: EXECUTIVE VICE PRESIDENT
Phone: (318) 949-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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