Heart of Texas Region Mental Health Mental Retardation Center

NPI #1952485195 in Waco, Texas

Provider Information

NPI Number: 1952485195
Entity Type: Organization
Organization Name: Heart of Texas Region Mental Health Mental Retardation Center
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Oct 24, 2006
Last Updated: Mar 5, 2020

Practice Location

Address: 1105 JEFFERSON AVE
City: Waco
State: Texas
ZIP Code: 76701-1212
Phone: (254) 752-7889

Authorized Official

Name: MR. DANIEL THOMPSON
Title: EXECUTIVE DIRECTOR
Phone: (254) 752-3451

Specialties & Taxonomy Codes

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

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