Greater Texas Behavioral Clinic LLC

NPI #1891512364 in Waco, Texas

Provider Information

NPI Number: 1891512364
Entity Type: Organization
Organization Name: Greater Texas Behavioral Clinic LLC
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Sep 25, 2024
Last Updated: May 5, 2025

Practice Location

Address: 5006 LAKELAND CIR STE 208
City: Waco
State: Texas
ZIP Code: 76710-2971
Phone: (877) 590-3665

Authorized Official

Name: NICHOLAS PETRILLO
Title: CEO/OWNER
Phone: (978) 440-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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