Organization
CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT
Active
Other names
MHMR CONCHO VALLEY
Organization subpart
No
Provider details
NPI number
Authorized official
ALTON TODD BAIRD (IT DIRECTOR/CREDENTIALING)
(325) 658-7750
Entity
Organization
Contact information
Practice address
1501 W BEAUREGARD AVE, SAN ANGELO, TX 76901-4004
(325) 658-7750
(325) 658-8381
Mailing address
1501 W BEAUREGARD AVE, SAN ANGELO, TX 76901-4004
(325) 658-7750
(325) 658-8381
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
001010515
TX
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001010515
—
TX
Enumeration date
06/11/2007
Last updated
05/04/2026
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