Organization
SOUTHWEST BEHAVIORAL SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOSBY KING JR. ED.D. (CLINICAL DIRECTOR)
(214) 489-9300
Entity
Organization
Contact information
Practice address
3827 S BUCKNER BLVD, DALLAS, TX 75227-4312
(214) 489-9300
(214) 489-9301
Mailing address
3827 S BUCKNER BLVD, DALLAS, TX 75227-4312
(214) 489-9300
(214) 489-9301
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1944-C
TX
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655029
—
TX
Enumeration date
12/22/2006
Last updated
08/22/2020
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