Organization
ANDREWS CENTER-CHEMICAL DEPENDANCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL FONTENOT CFO (CFO)
(903) 597-1351
Entity
Organization
Contact information
Practice address
2323 W FRONT ST, TYLER, TX 75702-7704
(903) 597-1351
(903) 535-7386
Mailing address
2323 W FRONT ST, TYLER, TX 75702-7704
(903) 597-1351
(903) 535-7386
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
3018-3019
TX
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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