Texas Panhandle Mental Health Mental Retardation

NPI #1154380152 in Amarillo, Texas

Provider Information

NPI Number: 1154380152
Entity Type: Organization
Organization Name: Texas Panhandle Mental Health Mental Retardation
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 20, 2006
Last Updated: Sep 29, 2020

Practice Location

Address: 901 WALLACE BLVD
Address 2: BUILDING 501
City: Amarillo
State: Texas
ZIP Code: 79106-1705
Phone: (806) 351-3200

Authorized Official

Name: MELLISA TALLEY
Title: EXECUTIVE DIRECTOR
Phone: (806) 351-3206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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