OrganizationActive
Evergreen Ok Ther. Leave & Vocational Support
NPI 1619095783 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oklahoma City, OK
Provider details
- NPI number
- 1619095783
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Taylor, President(318) 742-8440
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
7725 W Britton Rd
Oklahoma City, OK 73132-1507
Phone: (405) 720-1192
Fax: (405) 720-1193
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Other names (DBA / former)
- Other name
- Evergreen Presbyterian Ministries, Inc.
Registry dates
- Enumerated
- 2007-03-27
- 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.