| NPI | 1851327464 |
|---|---|
| Other Name | PARKSIDE OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | SAUNYA D MOORE CFO 918-582-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: OK 2261) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OK 2261) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OK 2261) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2012-10-31 |