| Permian Basin Community Center | |
|
502 N Carver St Midland TX 79701-3634 | |
| (432) 570-3390 | |
| (432) 570-3375 |
| Full Name | Permian Basin Community Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 502 N Carver St, Midland, Texas |
| Authorized Official Name and Position | Jennifer Michelle Barton (LCDC) |
| Authorized Official Contact | 4325703390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Permian Basin Community Center 502 N Carver St Midland TX 79701-3634 Ph: (432) 570-3390 | Permian Basin Community Center 502 N Carver St Midland TX 79701-3634 Ph: (432) 570-3390 |
| NPI Number | 1013372374 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 12/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013372374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 13198 (Texas) | Primary |
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