# TULSA BOYS' HOME

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

## Provider details

- **NPI number:** 1851420384
- **Authorized official:** MR. GREGORY T. CONWAY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (918) 245-0231

## Contact information

- **Practice address:** 2727 S 137TH W AVE, SAND SPRINGS, OK 74063-5017
- **Practice address phone:** (918) 245-0231
- **Practice address fax:** (918) 241-5031
- **Mailing address:** PO BOX 1101, TULSA, OK 74101-1101
- **Mailing address phone:** (918) 245-0231
- **Mailing address fax:** (918) 241-5031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | OK | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | OK | — |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 12/29/2009