OrganizationActive
Andrews Center/ Phillips
NPI 1063436665 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Tyler, TX
Provider details
- NPI number
- 1063436665
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Carol Fontenot, Cfo(903) 597-1351
Specialties & taxonomies
Residential Treatment Facilities
Practice location
210 W Phillips St
Tyler, TX 75701-1642
Phone: (903) 593-8861
Approximate (ZIP-level) locationGet directions
Mailing address
210 W Phillips St
Tyler, TX 75701-1642
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.