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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