360 BEHAVIORAL HEALTH OF TEXAS LLC

TYLER, TX
NPI1720543895
Entity TypeOrganization
Authorized ContactDENNIS KOGOD
Executive Chairman/CEO
949-285-8969
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2019-02-04
Last Update Date2019-02-04
Business Address
360 BEHAVIORAL HEALTH OF TEXAS LLC
120 E SOUTH TOWN DR
TYLER, TX 75703-4747
Phone number: 903-630-7077
Mailing Address
360 BEHAVIORAL HEALTH OF TEXAS LLC
16946 SHERMAN WAY
VAN NUYS, CA 91406-3613
Phone number: 949-339-0401
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