OrganizationActive
Evergreen Presbyterian Ministries, Inc.
NPI 1720539299 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ponchatoula, LA
Provider details
- NPI number
- 1720539299
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Merlon Craft, Executive Vice President / Cfo
Practice location
15212 Wadesboro Dr.
Ponchatoula, LA 70454
Phone: (318) 949-5500
Fax: (318) 949-5555
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Registry dates
- Enumerated
- 2016-10-20
- Last updated
- 2016-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.