Organization
PERMIAN BASIN COMMUNITY CENTERS FOR MENTAL HEALTH & MENTAL RETARDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAMONA THOMAS (DEPUTY EXECUTIVE DIRECTOR)
(432) 570-3333
Entity
Organization
Contact information
Practice address
804 NORTH 5TH, ALPINE, TX 79830
(432) 837-3373
(432) 570-3346
Mailing address
401 E ILLINOIS, STE 400, MIDLAND, TX 79701
(432) 570-3333
(432) 570-3346
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
TEXAS
TX
Other
Enumeration date
11/16/2006
Last updated
07/15/2011
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