Andrews Center-Autism
Organization Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Tyler, TX
NPI 1497089932 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1497089932
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
- Legal business name
- ANDREWS CENTER-AUTISM
- Practice address
- 2323 W Front St
Tyler, TX 75702-7704 - Phone
- (903) 597-5067
- Fax
- (903) 535-7386
- NPI assigned
- Oct 1, 2009
- 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 |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Yes |
Addresses
Primary practice location
2323 W Front St
Tyler, TX 75702-7704
Mailing address
PO Box 4730
Tyler, TX 75712-4730
Phone (903) 597-5067
Other providers in Tyler, TX
- Andrews Center - MH
- Andrews Center - Mr
- Andrews Center - TX Home Living
- Andrews Center -Pinkerton
- Andrews Center-Adt
- Andrews Center-Chemical Dependancy
- Andrews Center-Dropin
- Andrews Center-Partial Hospitalizatoin
- Andrews Center/ Ann Rd
- Andrews Center/ KCP
All providers in Tyler, TX · Child Intellectual and/or Developmental Disabilities Respite Care 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 28, 2011. 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.