Whalio Doctors

NPI 1457356560

Tulsa County Juvenile Justice Trust Authority

Organisation Mental Illness Community Based Residential Treatment Facility Tulsa, OK

Practice location

Address
4012 E 35th St, Tulsa, OK 74135-4528
Phone
(918) 749-6668
Fax
(918) 748-8814

Authorised official

Name
Eric Sachau
Title
Ceo
Phone
(918) 749-6668

Registered specialties (3)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence K8500186 (OK)
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X Licence K8500188 (OK)
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X Licence K8500187 (OK)

Registry record

NPI
1457356560
Entity type
Organization
NPI issued
15 Jun 2005
Record last updated
22 Aug 2020

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.