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Organization
TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION
Active
Organization
TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION
Active
Other names
Texas Panhandle Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MELLISA TALLEY (EXECUTIVE DIRECTOR)
(806) 351-3206
Entity
Organization
Contact information
Practice address
901 WALLACE BLVD, AMARILLO, TX 79106-1705
(806) 351-3200
(806) 351-3344
Mailing address
901 WALLACE BLVD, AMARILLO, TX 79106-1705
(806) 351-3200
(806) 351-3344
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127378105
—
TX
Enumeration date
06/08/2015
Last updated
09/29/2020
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