Provider Demographics
NPI:1386536373
Name:PERMIAN BASIN BEHAVIORAL HEALTH CENTER
Entity type:Organization
Organization Name:PERMIAN BASIN BEHAVIORAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-221-4877
Mailing Address - Street 1:400 ROSALIND REDFERN GROVER PARKWAY
Mailing Address - Street 2:ADMINISTRATION-OFFICE OF CFO
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701
Mailing Address - Country:US
Mailing Address - Phone:432-221-1523
Mailing Address - Fax:
Practice Address - Street 1:900 N FM 1788
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-2091
Practice Address - Country:US
Practice Address - Phone:432-221-1523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital