Organization
ANDREW CENTER -ADT MH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERRYHILL (CFO)
(903) 597-1351
Entity
Organization
Contact information
Practice address
3111 WNW LOOP 323, TYLER, TX 75702-1340
(903) 597-1351
Mailing address
3111 WNW LOOP 323, TYLER, TX 75702-1340
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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