Adolescent Child Day Treatment

LBN: Parkside, Inc.
Adolescent Child Day Treatment is an health care organization with primary practice located at 1220 S Trenton Ave , Tulsa OK 74120-5421. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Parkside, Inc. can be contacted via phone (918) 582-2131, or through Moore, Saunya D. via phone (918) 582-2131.

Contact Information

Primary practice address
1220 S Trenton Ave Tulsa OK 74120-5421
Phone: (918) 582-2131
Fax: (918) 588-8822
Website:
Map and Directions
Authorized official contact:
Name: Moore, Saunya D.
Phone: (918) 582-2131

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 2261 Oklahoma

Profile Details

NPI number 1548573348
LBN Legal business name Parkside, Inc.
DBA Doing business as Adolescent Child Day Treatment
Authorized official Moore, Saunya D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2010
Last updated Oct 31st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548573348 NPPES
Oklahoma Other 374021 MEDICARE PROVIDER NUMBER
Oklahoma MEDICAID 100738360B MEDICARE PROVIDER NUMBER

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