Organization
BRAZOS VALLEY CENTER FOR INDEPENDENT LIVING
Active
Other names
BVCIL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKIE PACHA (EXECUTIVE DIRECTOR)
(979) 776-5505
Entity
Organization
Contact information
Practice address
1869 BRIARCREST DR, BRYAN, TX 77802-3453
(979) 776-5505
(979) 776-5500
Mailing address
1869 BRIARCREST DR, BRYAN, TX 77802-3453
(979) 776-5505
(979) 776-5500
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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