Organization Name: | TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION |
NPI Number: | 1013362169 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD SCHERTLER (EXECUTIVE DIRECTOR) |
Mailing Address: | 2002 Hardy St Amarillo |
State: | TX US |
Postal Code: | 791062102 |
Phone Number: | 8063513200 |
Fax Number: | 8063513344 |
NPI Enumeration Date: | 04/26/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 3610-3946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |