Organization
ANDREWS CENTER-AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL FONTENOT (CFO)
(903) 597-1351
Entity
Organization
Contact information
Practice address
2323 W FRONT ST, TYLER, TX 75702-7704
(903) 597-5067
(903) 535-7386
Mailing address
PO BOX 4730, TYLER, TX 75712-4730
(903) 597-5067
(903) 535-7386
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
06/28/2011
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