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
2002 HARDY ST, AMARILLO, TX 79106-2102
(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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
3610-3946
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134188139
—
TX
05
—
359864101
—
TX
Enumeration date
04/26/2016
Last updated
09/29/2020
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