OrganizationActive
Evergreen Presbyterian Ministries, Inc.
NPI 1144573619 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Vinton, LA
Provider details
- NPI number
- 1144573619
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Merlon Craft, Cfo(318) 949-5500
- License
- 2203781165 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 2203781165 (LA)
Residential Treatment Facilities
Practice location
1223 Fancher St
Vinton, LA 70668-4319
Phone: (318) 949-5500
Fax: (318) 949-5555
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Registry dates
- Enumerated
- 2012-10-22
- Last updated
- 2012-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.