NPI 1639373004

Evergreen Psychosocial Services INC.

Organisation Health Maintenance Organization Baton Rouge, LA

Practice location

Address: 13000 Justice Ave. Suite 11, Baton Rouge, LA 70816-5329
Phone: (225) 291-5038
Fax: (225) 291-2534

Authorised official

Name: Michael E Enow
Title: Administrator
Phone: (504) 390-6892

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1639373004
Entity type: Organization
NPI issued: 12 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.