Organization
ROSE STREET MENTAL SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY C MARTIN MD (OWNER)
(940) 723-4488
Entity
Organization
Contact information
Practice address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 723-4488
(940) 723-0446
Mailing address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 723-4488
(940) 723-0446
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
295881
VALUEOPTIONS
TX
01
—
HH6781
BCBS OF TX
TX
Enumeration date
01/08/2007
Last updated
05/06/2008
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