# PECAN VALLEY MHMR REGION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pecan Valley Centers for Behavioral and Developmental Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013257799
- **Authorized official:** COKE BEATTY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (817) 579-4400

## Contact information

- **Practice address:** 2101 W. PEARL ST., GRANBURY, TX 76048
- **Practice address phone:** (817) 579-4400
- **Practice address fax:** (817) 579-4407
- **Mailing address:** PO BOX 729, GRANBURY, TX 76048-0729
- **Mailing address phone:** (817) 579-4400
- **Mailing address fax:** (817) 579-4407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2013
- **Last updated:** 02/18/2013