Organization
TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION
Active
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) 358-1681
Mailing address
901 WALLACE BLVD, AMARILLO, TX 79106-1705
(806) 358-1681
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
11/16/2006
Last updated
07/21/2022
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