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1639373004
EVERGREEN PSYCHOSOCIAL SERVICES INC.
BATON ROUGE, LA
NPI
1639373004
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Entity Type
Organization
Authorized Contact
MICHAEL E ENOW
Administrator
504-390-6892
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2007-06-12
Last Update Date
2020-08-22
Business Address
EVERGREEN PSYCHOSOCIAL SERVICES INC.
13000 JUSTICE AVE. SUITE 11
BATON ROUGE, LA 70816-5329
Phone number: 225-291-5038
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Mailing Address
EVERGREEN PSYCHOSOCIAL SERVICES INC.
13000 JUSTICE AVE. SUITE 11
BATON ROUGE, LA 70816-5329
Phone number: 225-291-5038
Copy
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