Organization
TULSA COUNTY JUVENILE JUSTICE TRUST AUTHORITY
Active
Other names
Crewson Youth Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC SACHAU (CEO)
(918) 749-6668
Entity
Organization
Contact information
Practice address
4012 E 35TH ST, TULSA, OK 74135-4528
(918) 749-6668
(918) 748-8814
Mailing address
4012 E 35TH ST, TULSA, OK 74135-4528
(918) 749-6668
(918) 748-8814
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
K8500186
OK
320800000X
Mental Illness Community Based Residential Treatment Facility
K8500187
OK
320800000X
Mental Illness Community Based Residential Treatment Facility
K8500188
OK
Other
Enumeration date
06/15/2005
Last updated
08/22/2020
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