Organization
CINDY JOHNSON KENDRASHA GRAY
Active
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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