OrganizationActive
Evergreen Presbyterian Ministries, Inc.
NPI 1770931503 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ponchatoula, LA
Provider details
- NPI number
- 1770931503
- 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 Vice President / Cfo(318) 949-5515
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
24345 Harvey Lavigne Road
Ponchatoula, LA 70454
Phone: (985) 386-2360
Fax: (985) 386-9380
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Registry dates
- Enumerated
- 2016-06-02
- Last updated
- 2016-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.