Sabine Valley Regional Mhmr Center

NPI #1467676544 in Longview, Texas

Provider Information

NPI Number: 1467676544
Entity Type: Organization
Organization Name: Sabine Valley Regional Mhmr Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 12, 2007
Last Updated: Aug 16, 2023

Practice Location

Address: 107 WOODBINE PL
City: Longview
State: Texas
ZIP Code: 75601-2912
Phone: (903) 758-2471

Authorized Official

Name: ROSEMARY O VILLARREAL, PESC
Title: PROVIDER ENROLLMENT/CREDENTIALING
Phone: (903) 234-4226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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