Organization
MENTAL HEALTH ASSOCIATION OF TULSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOE C RODRIGUEZ III (PATHWASY CASE MANAGER SUPERVISOR)
(918) 807-1742
Entity
Organization
Contact information
Practice address
1870 S BOULDER AVE, TULSA, OK 74119-5234
(918) 807-1742
Mailing address
1010 W 120TH ST S, JENKS, OK 74037-2863
(918) 807-1742
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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