Goodwill Industries Of East Texas, INC.
Community/Behavioral Health in Tyler, TX. Organization (NPI-2).
NPI number1295148989
StatusActive
Last updated in NPPESJun 10, 2014
Details
- NPI
- 1295148989
- Entity type
- Organization (NPI-2)
- Legal business name
- Goodwill Industries Of East Texas, INC.
- Organization subpart
- No
- Enumeration date
- Jun 10, 2014
- Last updated
- Jun 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
409 W Locust StTyler, TX 75702-5644
Phone 903-593-8438
Mailing address
409 W Locust StTyler, TX 75702-5644
Phone 903-593-8438
Authorized official
Kimberly Lewis
Executive Director
9035938438
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