Organization
PERMIAN BASIN COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MICHELLE BARTON LCDC (LCDC)
(432) 570-3390
Entity
Organization
Contact information
Practice address
502 N CARVER ST, MIDLAND, TX 79701-3634
(432) 570-3390
(432) 570-3375
Mailing address
502 N CARVER ST, MIDLAND, TX 79701-3634
(432) 570-3390
(432) 570-3375
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13198
TX
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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