Cindy Johnson Kendrasha Gray
Cindy Johnson Kendrasha Gray is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Longview, Texas. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
801 S Mobberly AveLongview, TX 75602-2037
Phone: (903) 424-8343
Fax: (903) 424-8343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1720590870 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cindy Rollins — General Partner · (903) 424-8343 |
| NPI enumerated | October 30, 2017 |
| Last updated in NPPES | September 25, 2019 |
| Mailing address | 314 S 9th St, Longview, TX 75602-1303 |
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