Organization
CENTRAL TEXAS MENTAL HEALTH AND MENTAL RETARDATION CENTER
Active
Other names
Center for Life Resources
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DION WHITE (CEO)
(325) 646-9574
Entity
Organization
Contact information
Practice address
408 MULBERRY ST, BROWNWOOD, TX 76801-1639
(325) 646-9574
Mailing address
PO BOX 250, BROWNWOOD, TX 76804-0250
(325) 646-9574
(325) 643-5136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13184
TX
101Y00000X
Counselor
64151
TX
101Y00000X
Counselor
66441
TX
101YP2500X
Professional Counselor
09663
TX
101YP2500X
Professional Counselor
13474
TX
1041C0700X
Clinical Social Worker
16780
TX
2084P0800X
Psychiatry Physician
C9164
TX
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000373401
—
TX
05
—
000384001
—
TX
05
—
000732501
—
TX
05
—
1333395-01
—
TX
05
—
1333395-02
—
TX
05
—
1333395-04
—
TX
05
—
133339507
—
TX
Enumeration date
04/24/2007
Last updated
02/21/2014
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