Mental Health Mental Retardation Authority Brazos Valley

NPI #1710364153 in Bryan, Texas

Provider Information

NPI Number: 1710364153
Entity Type: Organization
Organization Name: Mental Health Mental Retardation Authority Brazos Valley
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: May 6, 2015
Last Updated: Jan 29, 2025

Practice Location

Address: 1504 S TEXAS AVE
City: Bryan
State: Texas
ZIP Code: 77802-1015
Phone: (979) 822-6467

Authorized Official

Name: MR. BILL KELLY
Title: EXECUTIVE DIRECTOR
Phone: (979) 822-6467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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