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Organization
THE CHILDRENS ADVOCACY CENTER OF GREATER WEST TEXAS INC
Active
Organization
THE CHILDRENS ADVOCACY CENTER OF GREATER WEST TEXAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WAYNE GRAHAM (CLINICAL DIRECTOR)
(325) 277-9198
Entity
Organization
Contact information
Practice address
3418 TOWN AND COUNTRY DRIVE, SAN ANGELO, TX 76903
(325) 653-4673
(325) 227-6896
Mailing address
3418 TOWN AND COUNTRY DRIVE, SAN ANGELO, TX 76903
(325) 653-4673
(325) 227-6896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/15/2021
Last updated
07/14/2022
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