| Permian Basin Community Centers For Mhmr | |
|
401 E Illinois Ave Ste 200 Midland TX 79701 | |
| (432) 570-3333 | |
| (432) 570-3346 |
| Full Name | Permian Basin Community Centers For Mhmr |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 401 E Illinois Ave, Midland, Texas |
| Authorized Official Name and Position | Ramona Thomas (DEPUTY EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4325703333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Permian Basin Community Centers For Mhmr 401 E Illinois Ave Ste 400 Midland TX 79701 Ph: (432) 570-3333 | Permian Basin Community Centers For Mhmr 401 E Illinois Ave Ste 200 Midland TX 79701 Ph: (432) 570-3333 |
| NPI Number | 1306855465 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306855465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Texas) | Primary |
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