Organization
PARKSIDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAUNYA D. MOORE (CFO)
(918) 588-8874
Entity
Organization
Contact information
Practice address
1220 S TRENTON AVE, TULSA, OK 74120-5421
(918) 586-4250
(918) 586-4203
Mailing address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 586-4250
(918) 586-4203
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
08/24/2012
Last updated
11/14/2012
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