Organization
MENTAL HEALTH MENTAL RETARDATION AUTHORITY BRAZOS VALLEY
Active
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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