Organization
METHODIST CHILDREN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM BROWN (INTERIM PRESIDENT)
(254) 753-0181
Entity
Organization
Contact information
Practice address
1111 HERRING AVE, WACO, TX 76708-3642
(254) 753-0181
(254) 755-7609
Mailing address
1111 HERRING AVENUE, WACO, TX 76708-3642
(254) 753-0181
(254) 755-7609
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
3571
TX
103TS0200X
School Psychologist
30212
TX
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
05/25/2010
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