Tulsa County Juvenile Justice Trust Authority

NPI #1457356560 in Tulsa, Oklahoma

Provider Information

NPI Number: 1457356560
Entity Type: Organization
Organization Name: Tulsa County Juvenile Justice Trust Authority
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jun 15, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 4012 E 35TH ST
City: Tulsa
State: Oklahoma
ZIP Code: 74135-4528
Phone: (918) 749-6668

Authorized Official

Name: MR. ERIC SACHAU
Title: CEO
Phone: (918) 749-6668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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