Permian Basin Community Centers for Mental Health & Mental Retardation

NPI #1700976453 in Midland, Texas

Provider Information

NPI Number: 1700976453
Entity Type: Organization
Organization Name: Permian Basin Community Centers for Mental Health & Mental Retardation
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 13, 2006
Last Updated: Jul 15, 2011

Practice Location

Address: 401 E ILLINOIS AVE
Address 2: STE 200
City: Midland
State: Texas
ZIP Code: 79701
Phone: (432) 570-3333

Authorized Official

Name: MRS. RAMONA THOMAS, CPA
Title: DEPUTY EXECUTIVE DIRECTOR
Phone: (432) 570-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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