Organization
REFUGE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTI MANDRELL (DIRECTOR OF THERAPY SERVICES)
(806) 748-7202
Entity
Organization
Contact information
Practice address
8405 COUNTY ROAD 2500, LUBBOCK, TX 79404-8105
(806) 748-7202
Mailing address
PO BOX 53684, LUBBOCK, TX 79453-3684
(806) 748-7202
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
6602900000
TX
261QX0100X
Occupational Medicine Clinic/Center
555400000
TX
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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