Andrews Center/ Millcreek
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Canton, TX
NPI 1396769907 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1396769907
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- ANDREWS CENTER/ MILLCREEK
- Practice address
- 1611 Mill Creek Rd
Canton, TX 75103-3114 - Phone
- (903) 567-4526
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Carol Fontenot
- 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
1611 Mill Creek Rd
Canton, TX 75103-3114
Mailing address
1611 Mill Creek Rd
Canton, TX 75103-3114
Other providers in Canton, TX
- Phillip L Admire III
- Rebecca Ann Aduddell
- Amicus Health Care Services, Inc.
- Robin Gail Anderson
- Andrews Center - Elliott St
- Andrews Center/ Short St
- Another Chance Detox
- Faisal Ansari
- Darcie A Baker
- Tiffany Bankston
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 Aug 22, 2020. 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.