# ANDREWS CENTER/ KCP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801800669
- **Authorized official:** CAROL FONTENOT (CFO)
- **Authorized official phone:** (903) 597-1351

## Contact information

- **Practice address:** 1710 W FRONT ST, TYLER, TX 75702-6823
- **Practice address phone:** (903) 593-4004
- **Mailing address:** 1710 W FRONT ST, TYLER, TX 75702-6823
- **Mailing address phone:** (903) 593-4004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 08/22/2020
