Organization
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Active
Organization
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Active
Other names
ACCESS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNA L STROM (REIMBURSEMENT COORDINATOR)
(903) 589-9000
Entity
Organization
Contact information
Practice address
5656 NORTH JACKSON, JACKSONVILLE, TX 75766-9641
(903) 589-9000
(903) 589-3443
Mailing address
5656 NORTH JACKSON, JACKSONVILLE, TX 75766-9641
(903) 589-9000
(903) 589-3443
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007139
CONTRACT NUMBER
TX
Enumeration date
06/05/2007
Last updated
03/31/2008
Update your record
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