Heart Of Texas Region Mental Health Mental Retardation Center

NPI 1003906876 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1003906876
Enumeration Date 10/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BARBARA J BARBARA
Position EXECUTIVE DIRECTOR
Phone (254) 729-8177
Fax (254) 729-8176
Practice Location
612 PARKSIDE DR
GROESBECK TX, 76642-1125, US
Phone (254) 729-8177
Fax (254) 729-8176
Business Location
110 S 12TH ST
P O BOX 890
WACO TX, 76701-1810, US
Phone (254) 752-3451
Fax (254) 752-7421
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Heart Of Texas Region Mental Health Mental Retardation Center NPI is 1003906876, taxonomy code is 320900000X Heart Of Texas Region Mental Health Mental Retardation Center physically located at 612 Parkside Dr, Groesbeck TX, 76642-1125. NPI Number 1033115704 has the healthcare provider type.

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1003906876 NPI number is provided on an as is basis without warranty of any kind. 1003906876 is maintained by the National Plan & Provider Enumeration System. The contents of Heart Of Texas Region Mental Health Mental Retardation Center are for informational purposes only.