Organization · Type 2 NPI

Evergreen Presbyterian Ministries of Texas, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dallas, TX

NPI number 1811036031 Active

Practice location

10810 Sanden Dr
Dallas, TX 75238-1337

Call (972) 386-4834 Map

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X001007659 (TX)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1811036031

Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier is 1811036031, issued on Feb 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dallas, TX. The record was last updated on Jun 17, 2008.