Organization
STREET SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MCGINNIS (EXECUTIVE DIRECTOR)
(918) 833-9800
Entity
Organization
Contact information
Practice address
1135 S YALE AVE, TULSA, OK 74112-5342
(918) 833-9800
(918) 833-9858
Mailing address
1135 S YALE AVE, TULSA, OK 74112-5342
(918) 833-9800
(918) 833-9858
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OK
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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