| Pecan Valley Centers For Behavioral And Developmental Healthcare | |
|
2101 W. Pearl St. Granbury TX 76048 | |
| (817) 579-4400 | |
| (817) 579-4407 |
| Full Name | Pecan Valley Centers For Behavioral And Developmental Healthcare |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2101 W. Pearl St., Granbury, Texas |
| Authorized Official Name and Position | Coke Beatty (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8175794400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecan Valley Centers For Behavioral And Developmental Healthcare Po Box 729 Granbury TX 76048-0729 Ph: (817) 579-4400 | Pecan Valley Centers For Behavioral And Developmental Healthcare 2101 W. Pearl St. Granbury TX 76048 Ph: (817) 579-4400 |
| NPI Number | 1013257799 |
|---|---|
| Provider Enumeration Date | 02/18/2013 |
| Last Update Date | 02/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013257799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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