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TRI-COUNTY BEHAVIORAL HEALTHCARE

Intermediate Care Facility, Mentally Retarded

Conroe, Texas

Provider NPI: 1851316145

Organization Information:
Organization Name:  TRI-COUNTY BEHAVIORAL HEALTHCARE


Practice Location:
2223 N THOMPSON ST  CONROE, TX 77303 US
Tel: 936-521-6300  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
000388201TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS TX - Page 1



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