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, BLDG 501, AMARILLO, TX 79106-1705
(806) 351-3313
(806) 351-3345
Mailing address
901 WALLACE BLVD, BLDG 501, AMARILLO, TX 79106-1705
(806) 351-3200
(806) 351-3345
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096160901
—
TX
Enumeration date
05/23/2005
Last updated
07/21/2022
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