| NPI | 1811036031 |
|---|---|
| Doing Business As | EVERGREEN HCS - NCTX 1 |
| Entity Type | Organization |
| Authorized Contact | JOHN R TAYLOR President 318-949-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001007659) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-17 |