OrganizationActive
Pecan Valley Mhmr Region
NPI 1144590159 · Substance Use Disorder Rehabilitation Clinic/Center · Granbury, TX
Provider details
- NPI number
- 1144590159
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Coke Beatty, Executive Director(817) 579-4400
- License
- 3492-3494 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 Pirate Dr
Granbury, TX 76048-5682
Phone: (817) 573-5012
Fax: (817) 579-9253
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 729
Granbury, TX 76048-0729
Other names (DBA / former)
- Doing business as
- Pecan Valley Centers for Behavioral and Developmental Healthcare
Registry dates
- Enumerated
- 2012-01-06
- Last updated
- 2012-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.