Organization
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Active
Other names
ACCESS
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA STROM (REIMBURSEMENT COORDINATOR)
(903) 589-9000
Entity
Organization
Contact information
Practice address
1011 COLLEGE AVE, JACKSONVILLE, TX 75766
(903) 589-9000
(903) 586-9200
Mailing address
5656 N JACKSON ST, JACKSONVILLE, TX 75766-9641
(903) 589-9000
(903) 586-9200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12741
TX
101Y00000X
Counselor
14498
TX
101Y00000X
Counselor
17029
TX
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096107001
—
TX
Enumeration date
02/28/2007
Last updated
07/24/2018
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