OrganizationActive
Evergreen Presbyterian Ministries of West Tn
NPI 1063530442 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Memphis, TN
Provider details
- NPI number
- 1063530442
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- John Taylor, President
Practice location
5154 Stage Rd
Suite 100
Memphis, TN 38134-3118
Phone: (901) 381-9370
Fax: (901) 381-9368
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.