Organization · Type 2 NPI

Phillip A Black LLC

Community/Behavioral Health Agency · Tulsa, OK

NPI number 1851751135 Active

Practice location

4815 S Harvard Ave Ste 428
Tulsa, OK 74135-3068

Call (918) 605-8614 Map

Mailing address

500 S Sweet Gum Ave
Broken Arrow, OK 74012-4543

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X2649 (OK)

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 1851751135

Phillip A Black LLC's National Provider Identifier is 1851751135, issued on Mar 1, 2016. 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 Mar 1, 2016.