Tulsa County Juvenile Justice Trust Authority

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

K8500186 Issued in OK

Legal business name

TULSA COUNTY JUVENILE JUSTICE TRUST AUTHORITY

Practice address

4012 E 35TH St
Tulsa, OK 74135-4528

Phone

(918) 749-6668

Fax

(918) 748-8814

NPI assigned

Jun 15, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eric Sachau

Title

Ceo

Phone

(918) 749-6668

Specialties & licenses 3

Addresses

Other names 1

• Crewson Youth Centers Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457356560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 E 35TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354528",
            "telephone_number": "918-749-6668",
            "fax_number": "918-748-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 E 35TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354528",
            "telephone_number": "918-749-6668",
            "fax_number": "918-748-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA COUNTY JUVENILE JUSTICE TRUST AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SACHAU",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-749-6668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OK",
            "license": "K8500188",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OK",
            "license": "K8500187",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OK",
            "license": "K8500186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crewson Youth Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tulsa City-County Health Department (Child Guidance)
• Tulsa City-County Health Department (Children First)
• Tulsa City-County Health Department (General Medicaid)
• Tulsa Colon and Rectal Surgery Inc
• Tulsa Cosmetic Dental Center
• Tulsa CT LLC (CT of Tulsa)
• Tulsa Day Center for the Homeless Inc
• Tulsa Dental Group, Inc
• Tulsa Dental Implant Center
• Tulsa Dental Implants and Periodontics (Transcend Dental Implants and Periodontics)

• Mental Illness Community Based Residential Treatment Facility in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Illness Community Based Residential Treatment Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.