Organization
PECAN VALLEY MHMR REGION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH WHAITE (MIS DIRECTOR)
(940) 397-3147
Entity
Organization
Contact information
Practice address
650 W GREEN ST, STEPHENVILLE, TX 76401-3311
(254) 965-7806
(254) 965-4308
Mailing address
650 W GREEN ST, STEPHENVILLE, TX 76401-3311
(254) 965-7806
(254) 965-4308
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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