Individual provider · Type 1 NPI

Astou Star Mbacke, BHRS

Community/Behavioral Health Agency · Tulsa, OK

NPI number 1508137688 Active

Practice location

2921 E 91st St
Tulsa, OK 74137-3322

Call (918) 298-5059 Map

Fax (918) 298-3869

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1508137688

Astou Star Mbacke, BHRS's National Provider Identifier is 1508137688, issued on Jan 20, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 22, 2012.