NPI 1144527227

Riverside Behavioral Health

Organisation Psychiatric Residential Treatment Facility Tulsa, OK

Practice location

Address: 4618 S 31st West Ave, Tulsa, OK 74107-7532
Phone: (662) 419-9786

Authorised official

Name: Grey McKellar
Title: Clinincal and Outpatient Director
Phone: (918) 855-2031

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 801081083 (MS)

Other Psychiatric Residential Treatment Facility providers in Oklahoma →

Registry record

NPI: 1144527227
Entity type: Organization
NPI issued: 25 Feb 2011
Record last updated: 25 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.