NPI | 1508910811 |
---|---|
Doing Business As | EVERGREEN SUPPORTED EMPLOYMENT-CLA |
Entity Type | Organization |
Authorized Contact | JOHN R TAYLOR President 318-949-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA ADC 2403) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2008-06-12 |