National Provider Identifier Database

THE CHILDRENS ADVOCACY CENTER OF GREATER WEST TEXAS INC
Mental Health


Contact Information

THE CHILDRENS ADVOCACY CENTER OF GREATER WEST TEXAS INC
3418 TOWN AND COUNTRY DRIVE
SAN ANGELO, TX76903
Phone: 325-653-4673
Fax: 325-227-6896
Website:
Specialty Taxonomy Code
* Mental Health 101YM0800X
Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for THE CHILDRENS ADVOCACY CENTER OF GREATER WEST TEXAS INC

NPI Number 1861081549
Legal business name
LBN
THE CHILDRENS ADVOCACY CENTER OF GREATER WEST TEXAS INC
Authorized official GREGORY GRAHAM - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/15/2021
Last updated 07/14/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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