OrganizationActive
Evergreen Presbyterian Ministries,inc.
NPI 1962892331 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Ponchatoula, LA
Provider details
- NPI number
- 1962892331
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kent Craft, Executive Vice President / Cfo(318) 949-5500
Specialties & taxonomies
Residential Treatment Facilities
Practice location
955 Live Oak Ct
Ponchatoula, LA 70454-4869
Phone: (318) 949-5500
Fax: (318) 949-5555
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Registry dates
- Enumerated
- 2015-01-23
- Last updated
- 2015-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.