# PERMIAN BASIN COMMUNITY CENTERS FOR MHMR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619011525
- **Authorized official:** MRS. RAMONA THOMAS CPA (DEPUTY EXECUTIVE DIRECTOR)
- **Authorized official phone:** (432) 570-3333

## Contact information

- **Practice address:** 400 N CARVER ST, MIDLAND, TX 79701
- **Practice address phone:** (432) 570-3385
- **Practice address fax:** (432) 570-3346
- **Mailing address:** 401 E ILLINOIS, STE 400, MIDLAND, TX 79701
- **Mailing address phone:** (432) 570-3333
- **Mailing address fax:** (432) 570-3346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 08/22/2020