PECAN VALLEY MHMR REGION NPI 1144590159

NPI Information

  • NPI: 1144590159
  • Provider Name: PECAN VALLEY MHMR REGION
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: PECAN VALLEY CENTERS FOR BEHAVIORAL AND DEVELOPMENTAL HEALTHCARE
  • Address: 104 PIRATE DR
    GRANBURY, TX
    ZIP 76048
  • Phone: (817) 573-5012

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NPI Details

PECAN VALLEY MHMR REGION is a rehabilitation and substance use disorder clinic center in Granbury, TX. PECAN VALLEY MHMR REGION NPI is 1144590159. The provider is registered as an organization entity type.
The provider Is Doing Business As Pecan Valley Centers For Behavioral And Developmental Healthcare.

The provider's business location address is:

104 PIRATE DR
GRANBURY, TX
ZIP 76048-682
Phone: (817) 573-5012
Fax: (817) 579-9253

The provider's authorized official is Coke Beatty .
The authorized official title is Executive Director and has the following contact phone number (817) 579-4400.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 1/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder3492-3494TEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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