Organization
PECAN VALLEY MHMR REGION
Active
Other names
Pecan Valley Centers for Behavioral and Developmental Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
COKE BEATTY (EXECUTIVE DIRECTOR)
(817) 579-4400
Entity
Organization
Contact information
Practice address
2101 W. PEARL ST., GRANBURY, TX 76048
(817) 579-4400
(817) 579-4407
Mailing address
PO BOX 729, GRANBURY, TX 76048-0729
(817) 579-4400
(817) 579-4407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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