Organization
MENTAL HEALTH ASSOCIATION IN TULSA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE A HORETH (CONTROLLER)
(918) 382-2414
Entity
Organization
Contact information
Practice address
1870 S BOULDER AVE, TULSA, OK 74119-5234
(918) 585-1213
(918) 585-1263
Mailing address
1870 S BOULDER AVE, TULSA, OK 74119-5234
(918) 585-1213
(918) 585-1263
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
778-01
SAFE HAVEN
OK
01
—
778-03
BP-OUTREACH
OK
01
—
778-04
12TH STREET SAFE HAVEN
OK
Enumeration date
03/02/2007
Last updated
03/18/2008
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