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Organization
TULSA BOYS' HOME
Active
Organization
TULSA BOYS' HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY T. CONWAY (EXECUTIVE DIRECTOR)
(918) 245-0231
Entity
Organization
Contact information
Practice address
2727 S 137TH W AVE, SAND SPRINGS, OK 74063-5017
(918) 245-0231
(918) 241-5031
Mailing address
PO BOX 1101, TULSA, OK 74101-1101
(918) 245-0231
(918) 241-5031
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
OK
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
OK
Other
Enumeration date
03/02/2007
Last updated
12/29/2009
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