Heart Of Texas Region Mental Health Mental Retardation Center
Clinic/Center, Mental Health (Including Community Mental Health Center) in Waco, TX. Organization (NPI-2).
NPI number1043394281
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1043394281
- Entity type
- Organization (NPI-2)
- Legal business name
- Heart Of Texas Region Mental Health Mental Retardation Center
- Organization subpart
- No
- Enumeration date
- Oct 24, 2006
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | TX | Yes |
Practice location
110 S 12th StWaco, TX 76701-1810
Phone 254-752-3451 · Fax 254-756-3133
Mailing address
Po Box 890Waco, TX 76703-0890
Phone 254-752-3451 · Fax 254-756-3133
Authorized official
Daniel Thompson
Executive Director
2547523451
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