| Southwest Behavioral Systems Inc | |
|
3827 S Buckner Blvd Dallas TX 75227-4312 | |
| (214) 489-9300 | |
| (214) 489-9301 |
| Full Name | Southwest Behavioral Systems Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3827 S Buckner Blvd, Dallas, Texas |
| Authorized Official Name and Position | Gosby King (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2144899300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Behavioral Systems Inc 3827 S Buckner Blvd Dallas TX 75227-4312 Ph: (214) 489-9300 | Southwest Behavioral Systems Inc 3827 S Buckner Blvd Dallas TX 75227-4312 Ph: (214) 489-9300 |
| NPI Number | 1699830315 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699830315 | NPI | - | NPPES |
| 0655029 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 1944-C (Texas) | Primary |
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