Organization · Type 2 NPI

Pennington Creek Lifehouse

Community/Behavioral Health Agency · Tulsa, OK

NPI number 1326393554 Active

Practice location

130 N Greenwood Ave Ste 200
Tulsa, OK 74120-1409

Call (539) 664-4621 Map

Mailing address

11644 N 103rd East Ave
Collinsville, OK 74021-4821

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1326393554

Pennington Creek Lifehouse's National Provider Identifier is 1326393554, issued on Jul 13, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 13, 2012.