Organization
CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT
Active
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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