Organization
R-UTH CHILDREN AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA' TOYA ANN BROUGHTON (FOUNDER/EXECUTIVE DIRECTOR)
(903) 213-5407
Entity
Organization
Contact information
Practice address
2865 COUNTY ROAD 413, TYLER, TX 75704-4211
(903) 752-7512
Mailing address
2865 COUNTY ROAD 413, TYLER, TX 75704-4211
(903) 752-7512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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