Provider Demographics
NPI:1891296836
Name:AWS BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:AWS BEHAVIORAL HEALTH
Other - Org Name:AWS BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:918-829-3581
Mailing Address - Street 1:9 E 4TH ST STE 602
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74103-5103
Mailing Address - Country:US
Mailing Address - Phone:918-829-3581
Mailing Address - Fax:
Practice Address - Street 1:9 E 4TH ST STE 602
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74103-5103
Practice Address - Country:US
Practice Address - Phone:918-829-3581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
No251S00000XAgenciesCommunity/Behavioral Health