Brazos Valley Center for Independent Living

NPI #1992116628 in Bryan, Texas

Provider Information

NPI Number: 1992116628
Entity Type: Organization
Organization Name: Brazos Valley Center for Independent Living
Primary Specialty: Case Management
Enumeration Date: May 15, 2014
Last Updated: May 15, 2014

Practice Location

Address: 1869 BRIARCREST DR
City: Bryan
State: Texas
ZIP Code: 77802-3453
Phone: (979) 776-5505

Authorized Official

Name: DR. JACKIE PACHA
Title: EXECUTIVE DIRECTOR
Phone: (979) 776-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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