Organization · Type 2 NPI
Tulsa County Juvenile Justice Trust Authority
Mental Illness Community Based Residential Treatment Facility · Tulsa, OK
NPI number
1457356560
Active
Practice location
4012 E 35th St
Tulsa, OK 74135-4528
Fax (918) 748-8814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | K8500188 (OK) |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | K8500186 (OK) |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | K8500187 (OK) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4 other providers at this address
- Shadow Mountain Behavioral Health System, LLCPsychiatric Residential Treatment Facility Tulsa, OK NPI 1285867713
- Aaron SampsonCase Manager/Care Coordinator Tulsa, OK NPI 1174393904
- Ashley Michaela CotnerCase Manager/Care Coordinator Tulsa, OK NPI 1811725781
- Kalah BallanceCase Management Agency Tulsa, OK NPI 1205593969
Other mental illness community based residential treatment facility providers in Tulsa
- Volunteers of America Inc.Mental Illness Community Based Residential Treatment Facility Tulsa, OK NPI 1417024761
- Tulsa Center for Behaviour HealthMental Illness Community Based Residential Treatment Facility Tulsa, OK NPI 1922440171
- Brookhaven HospitalMental Illness Community Based Residential Treatment Facility Tulsa, OK NPI 1982943445
About NPI 1457356560
Tulsa County Juvenile Justice Trust Authority's National Provider Identifier is 1457356560, issued on Jun 15, 2005. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tulsa, OK. The record was last updated on Aug 22, 2020.