Pecan Valley Mhmr Region

NPI #1508084625 in Joshua, Texas

Provider Information

NPI Number: 1508084625
Entity Type: Organization
Organization Name: Pecan Valley Mhmr Region
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 105 LITTLEBROOK RD
City: Joshua
State: Texas
ZIP Code: 76058-4816
Phone: (817) 558-0552

Authorized Official

Name: RALPH WHAITE
Title: MIS DIRECTOR
Phone: (940) 397-3147

Specialties & Taxonomy Codes

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

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