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Organization
HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
Active
Organization
HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL THOMPSON (EXECUTIVE DIRECTOR)
(254) 752-3451
Entity
Organization
Contact information
Practice address
1105 JEFFERSON AVE, WACO, TX 76701-1212
(254) 752-7889
(254) 752-7899
Mailing address
110 S 12TH ST, P O BOX 890, WACO, TX 76701-1810
(254) 752-3451
(254) 752-7421
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
2007020591
TX
Other
Enumeration date
10/24/2006
Last updated
03/05/2020
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