# RIVERSIDE BEHAVIORAL HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144527227
- **Authorized official:** MR. GREY MCKELLAR LSW (CLININCAL AND OUTPATIENT DIRECTOR)
- **Authorized official phone:** (918) 855-2031

## Contact information

- **Practice address:** 4618 S 31ST WEST AVE, TULSA, OK 74107-7532
- **Practice address phone:** (662) 419-9786
- **Mailing address:** 4618 S 31ST WEST AVE, TULSA, OK 74107-7532
- **Mailing address phone:** (662) 419-9786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 801081083 | MS | Yes |

## Other

- **Enumeration date:** 02/25/2011
- **Last updated:** 02/25/2011