Healthcare Provider Details

I. General information

NPI: 1265351100
Provider Name (Legal Business Name): PRESBYTERIAN HOME FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 BOWIE ST
AMARILLO TX
79109-4997
US

IV. Provider business mailing address

3400 BOWIE ST
AMARILLO TX
79109-4997
US

V. Phone/Fax

Practice location:
  • Phone: 806-352-5771
  • Fax: 806-352-2066
Mailing address:
  • Phone: 806-352-5771
  • Fax: 806-352-2066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL RENEE MORALES
Title or Position: TREATMENT DIRECTOR
Credential:
Phone: 806-656-6191