# HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952485195
- **Authorized official:** MR. DANIEL THOMPSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (254) 752-3451

## Contact information

- **Practice address:** 1105 JEFFERSON AVE, WACO, TX 76701-1212
- **Practice address phone:** (254) 752-7889
- **Practice address fax:** (254) 752-7899
- **Mailing address:** 110 S 12TH ST, P O BOX 890, WACO, TX 76701-1810
- **Mailing address phone:** (254) 752-3451
- **Mailing address fax:** (254) 752-7421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 2007020591 | TX | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 03/05/2020