Organization
CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT
Active
Other names
MHMR SERVICES FOR THE CONCHO VALLEY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ROWE (CEO)
(325) 658-7750
Entity
Organization
Contact information
Practice address
202 N MAIN ST, SAN ANGELO, TX 76903-4842
(325) 658-7750
Mailing address
1501 W BEAUREGARD AVE, SAN ANGELO, TX 76901-4004
(325) 658-7750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4660-4661
SUBSTANCE ABUSE TREATMENT FACILITY LICENSE
TX
Enumeration date
11/01/2022
Last updated
11/05/2024
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