Organization
EVERGREEN PSYCHOSOCIAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E ENOW (ADMINISTRATOR)
(504) 390-6892
Entity
Organization
Contact information
Practice address
13000 JUSTICE AVE., SUITE 11, BATON ROUGE, LA 70816-5329
(225) 291-5038
(225) 291-2534
Mailing address
13000 JUSTICE AVE., SUITE 11, BATON ROUGE, LA 70816-5329
(225) 291-5038
(225) 291-2534
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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