Organization
PARKSIDE, INC.
Active
Other names
Parkside Psychiatric Hospital & Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ERIC SACHAU (DIRECTOR OF BUSINESS DEVELOPMENT)
(918) 588-8826
Entity
Organization
Contact information
Practice address
1220 S TRENTON AVE, TULSA, OK 74120-5421
(918) 582-2131
Mailing address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 582-2131
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100738360O
—
OK
Enumeration date
05/02/2007
Last updated
02/15/2022
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