# CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MHMR SERVICES FOR THE CONCHO VALLEY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649987496
- **Authorized official:** GREGORY ROWE (CEO)
- **Authorized official phone:** (325) 658-7750

## Contact information

- **Practice address:** 202 N MAIN ST, SAN ANGELO, TX 76903-4842
- **Practice address phone:** (325) 658-7750
- **Mailing address:** 1501 W BEAUREGARD AVE, SAN ANGELO, TX 76901-4004
- **Mailing address phone:** (325) 658-7750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 11/01/2022
- **Last updated:** 11/05/2024
