Individual provider · Type 1 NPI

Kenyatta Andrews

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Tarboro, NC

NPI number 1265358808 Active

Practice location

826 Daniel St
Tarboro, NC 27886-2294

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

About NPI 1265358808

Kenyatta Andrews's National Provider Identifier is 1265358808, issued on Jun 27, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Tarboro, NC. The record was last updated on Jun 27, 2026.