Organization
EVERGREEN PRESBYTERIAN MINISTRIES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT CRAFT (EXECUTIVE VICE PRESIDENT / CFO)
(318) 949-5500
Entity
Organization
Contact information
Practice address
955 LIVE OAK CT, PONCHATOULA, LA 70454-4869
(318) 949-5500
(318) 949-5555
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 949-5500
(318) 949-5555
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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