Pecan Valley Mhmr Region

NPI #1578781605 in Cleburne, Texas

Provider Information

NPI Number: 1578781605
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: 2901 FM 2280
City: Cleburne
State: Texas
ZIP Code: 76031-7803
Phone: (817) 558-0642

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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