Organization · Type 2 NPI
Pecan Valley MHMR Region
Substance Use Disorder Rehabilitation Clinic/Center · Granbury, TX
NPI number
1144590159
Active
Practice location
104 Pirate Dr
Granbury, TX 76048-5682
Fax (817) 579-9253
Mailing address
PO Box 729
Granbury, TX 76048-0729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 3492-3494 (TX) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1144590159
Pecan Valley MHMR Region's National Provider Identifier is 1144590159, issued on Jan 6, 2012. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Granbury, TX. The record was last updated on Jan 6, 2012.