Provider Demographics
NPI:1831269885
Name:ANDREWS CENTER - HCS
Entity type:Organization
Organization Name:ANDREWS CENTER - HCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:FONTENOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-597-1351
Mailing Address - Street 1:2607 CECIL LN
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75752-6838
Mailing Address - Country:US
Mailing Address - Phone:903-677-3520
Mailing Address - Fax:
Practice Address - Street 1:2607 CECIL LN
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75752-6838
Practice Address - Country:US
Practice Address - Phone:903-677-3520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities