Andrews Center/ KCP
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Tyler, TX
NPI 1801800669 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1801800669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- ANDREWS CENTER/ KCP
- Practice address
- 1710 W Front St
Tyler, TX 75702-6823 - Phone
- (903) 593-4004
- NPI assigned
- Jul 28, 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
Locations
1710 W Front St
Tyler, TX 75702
Phone (903) 592-2548
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
1710 W Front St
Tyler, TX 75702-6823
Mailing address
1710 W Front St
Tyler, TX 75702-6823
Phone (903) 593-4004
Other providers in Tyler, TX
- Andrews Center-Autism
- Andrews Center-Chemical Dependancy
- Andrews Center-Dropin
- Andrews Center-Partial Hospitalizatoin
- Andrews Center/ Ann Rd
- Andrews Center/ Phillips
- Andrews Center/Choctaw
- Andrews Center/Drop in
- John P Andrews
- Lori Andrews
All providers in Tyler, 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.