OrganizationActive
Evergreen Presbyterian Ministries, Inc.
NPI 1396095592 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hammond, LA
Provider details
- NPI number
- 1396095592
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Merlon Craft, Chief Financial Officer(318) 949-5500
- License
- 2851 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 2851 (LA)
Residential Treatment Facilities
Practice location
45439 Live Oak Dr
Hammond, LA 70401-4526
Phone: (318) 949-5500
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Other names (DBA / former)
- Doing business as
- Evergreen North Lake Services
Registry dates
- Enumerated
- 2012-09-14
- Last updated
- 2012-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.