Organization
LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PAVLIK (DADS DIRECTOR)
(806) 766-0375
Entity
Organization
Contact information
Practice address
3801 AVENUE J, LUBBOCK, TX 79412-2017
(806) 766-0375
Mailing address
3801 AVENUE J, LUBBOCK, TX 79412-2017
(806) 766-0375
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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