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
MR. COKE BEATTY (EXECUTIVE DIRECTOR)
(817) 579-4400
Entity
Organization
Contact information
Practice address
1601 N ANGLIN ST, CLEBURNE, TX 76031-1835
(817) 648-7133
(817) 645-3032
Mailing address
PO BOX 729, GRANBURY, TX 76048-0729
(817) 579-4400
(817) 579-4407
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
3492-3493
TX
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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