Provider Demographics
NPI:1093032229
Name:VALLEY AIDS COUNCIL
Entity type:Organization
Organization Name:VALLEY AIDS COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-428-2653
Mailing Address - Street 1:2306 CAMELOT PLAZA CIR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8984
Mailing Address - Country:US
Mailing Address - Phone:956-428-2653
Mailing Address - Fax:956-428-9538
Practice Address - Street 1:857 E WASHINGTON ST STE G
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-5939
Practice Address - Country:US
Practice Address - Phone:956-541-2600
Practice Address - Fax:956-541-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder