Organization
CENTRAL TEXAS MHMR CENTER
Active
Organization
CENTRAL TEXAS MHMR CENTER
Active
Other names
Mulberry ICF-MR
Organization subpart
No
Provider details
NPI number
Authorized official
DION WHITE (EXECUTIVE DIRECTOR)
(325) 643-3363
Entity
Organization
Contact information
Practice address
403 MULBERRY ST, BROWNWOOD, TX 76801-1640
(325) 643-4131
(325) 643-3966
Mailing address
PO BOX 250, BROWNWOOD, TX 76804-0250
(325) 646-9574
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000384001
TMHP TPI
TX
Enumeration date
01/24/2008
Last updated
06/04/2013
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