Organization
WEST TEXAS CENTERS FOR MHMR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY SMITH (CHIEF EXECUTIVE OFFICER)
(432) 264-2650
Entity
Organization
Contact information
Practice address
409 RUNNELS ST, BIG SPRING, TX 79720-2529
(432) 264-2650
(432) 264-9897
Mailing address
409 RUNNELS ST, BIG SPRING, TX 79720-2529
(432) 264-2650
(432) 264-9897
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001007501
DADS CONTRACT
TX
Enumeration date
11/08/2006
Last updated
11/18/2020
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