OrganizationActive
Evergreen Presbyterian Ministries, Inc.
NPI 1154932622 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Haughton, LA
Provider details
- NPI number
- 1154932622
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Merlon Craft, Executive Vp of Administration / Cf(318) 949-5515
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2101 Highway 80
Haughton, LA 71037-9488
Phone: (318) 949-5515
Fax: (318) 949-5555
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Other names (DBA / former)
- Doing business as
- Evergreen Life Services
Registry dates
- Enumerated
- 2020-08-10
- Last updated
- 2020-08-10
- Certified
- 2020-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.