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Organization

CINDY JOHNSON KENDRASHA GRAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY ROLLINS (GENERAL PARTNER)
(903) 424-8343
Entity
Organization

Contact information

Practice address
801 S MOBBERLY AVE, LONGVIEW, TX 75602-2037
(903) 424-8343
(903) 424-8343
Mailing address
314 S 9TH ST, LONGVIEW, TX 75602-1303
(903) 424-8343

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/30/2017
Last updated
09/25/2019
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