Organization
ANDREWS CENTER/ SHORT ST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL FONTENTO (CFO)
(903) 597-1351
Entity
Organization
Contact information
Practice address
205 SHORT ST, CANTON, TX 75103-2609
(903) 567-4541
Mailing address
205 SHORT ST, CANTON, TX 75103-2609
(903) 567-4541
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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