MEDICARE: ANDREWS CENTER-DROPIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1215303334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREWS CENTER-DROPIN

Provider Business Mailing Address
First Line	:	13470 CHOCTAW DR
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75709-5000
Country	:	US
Telephone Number	:	903-597-1351
Fax Number	:

Provider Business Practice Location Address
First Line	:	13470 CHOCTAW DR
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75709-5000
Country	:	US
Telephone Number	:	903-597-1351
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JASON BERRYHILL
Credential	:
Telephone Number	:	903-597-1351

Provider Enumeration Date	:	08/12/2015
Last Update Date	:	08/12/2015

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Directions to “ANDREWS CENTER-DROPIN ” Practice Location

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