Andrews Center/ Short St
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Canton, TX
NPI 1174547780 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1174547780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- ANDREWS CENTER/ SHORT ST
- Practice address
- 205 Short St
Canton, TX 75103-2609 - Phone
- (903) 567-4541
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Randa Haywood
- Title
- Cfo
- Phone
- (903) 597-1351
Corporate family (same tax ID) 20
Practitioners 1
-
Kathleen Wakefield, LMSW-ACP
National Provider Directory
- Tax ID family
- Andrews Center -Pinkerton
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
205 Short St
Canton, TX 75103-2609
Mailing address
205 Short St
Canton, TX 75103-2609
Phone (903) 567-4541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000377201 | Medicaid | TX |
Other providers in Canton, TX
- Rebecca Ann Aduddell
- Amicus Health Care Services, Inc.
- Robin Gail Anderson
- Andrews Center - Elliott St
- Andrews Center/ Millcreek
- Another Chance Detox
- Faisal Ansari
- Darcie A Baker
- Tiffany Bankston
- Carrie Bass
All providers in Canton, TX · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.