Organization
PANHANDLE MENTAL HEALTH CENTER DAY TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARYN WOHLERS (DIRECTOR)
(308) 635-3171
Entity
Organization
Contact information
Practice address
3701 AVENUE D, SUITE 200, SCOTTSBLUFF, NE 69361-4771
(308) 632-4412
(308) 632-2326
Mailing address
4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
(308) 635-3171
(308) 635-7026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
89
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025265500
—
NE
Enumeration date
02/06/2007
Last updated
08/22/2020
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