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
108 W WARD DR, ROBINSON, TX 76706-5651
(254) 752-3451
(254) 752-7421
Mailing address
108 WEST WARD, WACO, TX 76706
(254) 662-6144
(254) 662-6670
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000762801
VENDOR #
TX
Enumeration date
10/24/2006
Last updated
03/05/2020
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