Riverside Behavioral Health

NPI 1144527227 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1144527227
Enumeration Date 02/25/2011
Last Updated 02/25/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GREY GREY
Position CLININCAL AND OUTPATIENT DIRECTOR
Phone (662) 419-9786
Fax
Practice Location
4618 S 31ST WEST AVE
TULSA OK, 74107-7532, US
Phone (662) 419-9786
Fax
Business Location
4618 S 31ST WEST AVE
TULSA OK, 74107-7532, US
Phone (662) 419-9786
Fax
Toxanomy
Taxonomy Code 323P00000X
License State Mississippi
License Number 801081083
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According to our database, Riverside Behavioral Health NPI is 1144527227, taxonomy code is 323P00000X and license number is 801081083, license state is located at Mississippi. Riverside Behavioral Health physically located at 4618 S 31st West Ave, Tulsa OK, 74107-7532. NPI Number 1033115704 has the healthcare provider type.

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1144527227 NPI number is provided on an as is basis without warranty of any kind. 1144527227 is maintained by the National Plan & Provider Enumeration System. The contents of Riverside Behavioral Health are for informational purposes only.