Organization
SPECTRUM BEHAVIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ERIN ROBICHAUX (EXECUTIVE DIRECTOR)
(405) 315-4599
Entity
Organization
Contact information
Practice address
4721 BRADFORD DR APT B, DALLAS, TX 75219-1399
(405) 315-4599
Mailing address
4721 BRADFORD DR APT B, DALLAS, TX 75219-1399
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-12-12683
TX
Other
Enumeration date
07/13/2013
Last updated
07/13/2013
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