OrganizationActive
Andrews Center/ Kcp
NPI 1801800669 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Tyler, TX
Provider details
- NPI number
- 1801800669
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Carol Fontenot, Cfo
Mailing address
1710 W Front St
Tyler, TX 75702-6823
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.