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NPI 1720543895

OrganizationActive

360 Behavioral Health of Texas LLC

NPI 1720543895 · Community/Behavioral Health Agency · Tyler, TX

Provider details

NPI number: 1720543895
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Parent organization: Ca PC Midco, Inc
Authorized official: Dennis Kogod, Executive Chairman/Ceo

Practice location

120 E South Town Dr

Tyler, TX 75703-4747

Phone: (903) 630-7077

More TX providers

Mailing address

16946 Sherman Way

Van Nuys, CA 91406-3613

Registry dates

Enumerated: 2019-02-04
Last updated: 2019-02-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

360 Behavioral Health of Texas LLC — NPI 1720543895, Tyler, TX | NPI Central