Lubbock Regional Mental Health Mental Retardation in Lubbock - Community/behavioral Health
Lubbock Regional Mental Health Mental Retardation - NPI 1760693402
Lubbock Regional Mental Health Mental Retardation is a Community/behavioral Health in Lubbock, Texas. Lubbock Regional Mental Health Mental Retardation practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Lubbock Regional Mental Health Mental Retardation is 1760693402. The last update date is 2020-08-22.
Lubbock Regional Mental Health Mental Retardation's current location address is 3801 Avenue J, Lubbock, Texas. You can contact this provider via phone number 8067660375. The mailing address for Lubbock Regional Mental Health Mental Retardation is 3801 Avenue J, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lubbock Regional Mental Health Mental Retardation |
|---|---|
| Address | 3801 Avenue J, Lubbock, Texas |
| Phone Number | 8067660375 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DADS DIREC |
|---|---|
| Authorized Official Name | Pavlik Kim |
| Telephone Number | 8067660375 |
NPI Number Detail
| NPI Number | 1760693402 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3801 Avenue J |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794122017 |
| Phone Number | 8067660375 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique identifier code issued to Lubbock Regional Mental Health Mental Retardation by the Centers for Medicare & Medicaid Services (CMS)?
The Lubbock Regional Mental Health Mental Retardation has been assigned the NPI (National Provider Identifier) 1760693402. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Lubbock Regional Mental Health Mental Retardation?
The Lubbock Regional Mental Health Mental Retardation is situated at 3801 Avenue J, in the city of Lubbock, state of TX, with the zip code 794122017.
What is the area of specialization for Lubbock Regional Mental Health Mental Retardation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lubbock Regional Mental Health Mental Retardation is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760693402 to Lubbock Regional Mental Health Mental Retardation?
The Centers for Medicare & Medicaid Services assigned the 1760693402 to Lubbock Regional Mental Health Mental Retardation on 2007-05-24.
As of what date were the Lubbock Regional Mental Health Mental Retardation's details last updated?
The information pertaining to the Lubbock Regional Mental Health Mental Retardation, including its address, specialty, and other details, was most recently updated on 2020-08-22.