Organization
MENTAL HEALTH MENTAL RETARDATION AUTHORITY BRAZOS VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL KELLY (EXECUTIVE DIRECTOR)
(979) 822-6467
Entity
Organization
Contact information
Practice address
1504 S TEXAS AVE, BRYAN, TX 77802-1015
(979) 822-6467
(979) 821-9448
Mailing address
1504 S TEXAS AVE, BRYAN, TX 77802-1015
(979) 822-6467
(979) 821-9448
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1363665
—
TX
Enumeration date
05/06/2015
Last updated
02/17/2026
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