Organization
BROOKHAVEN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLF B GAINER PH.D (CHIEF EXECUTIVE OFFICER)
(918) 438-4257
Entity
Organization
Contact information
Practice address
201 S GARNETT RD, TULSA, OK 74128-1805
(918) 438-4257
Mailing address
8014 S WHEELING AVE, APT H, TULSA, OK 74136-5224
(580) 224-1785
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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