Organization
PARKSIDE, INC.
Active
Other names
Parkside Inpatient Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAUNYA D. MOORE CPA (CFO)
(918) 582-2131
Entity
Organization
Contact information
Practice address
1619 EAST 13TH STREET, TULSA, OK 74120-5410
(918) 582-2131
Mailing address
1619 EAST 13TH STREET, TULSA, OK 74120
(918) 582-2131
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100738360H
—
OK
Enumeration date
05/02/2007
Last updated
12/24/2014
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