Organization
ANDREWS CENTER - ELLIOTT ST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERRYHILL (CFO)
(903) 597-1351
Entity
Organization
Contact information
Practice address
1738 ELLIOT DR, CANTON, TX 75103-2604
(903) 567-4541
Mailing address
1738 ELLIOT DR, CANTON, TX 75103-2604
(903) 567-4541
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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