Andrews Center/ Short St

NPI #1174547780 in Canton, Texas

Provider Information

NPI Number: 1174547780
Entity Type: Organization
Organization Name: Andrews Center/ Short St
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 205 SHORT ST
City: Canton
State: Texas
ZIP Code: 75103-2609
Phone: (903) 567-4541

Authorized Official

Name: CAROL FONTENTO
Title: CFO
Phone: (903) 597-1351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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