Bakari Behavioral Health Inc.

LBN: Bakari Behavioral Health Inc.
Bakari Behavioral Health Inc. is an health care organization with primary practice located at 515 Beech St , Waterloo IA 50703-3317. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Bakari Behavioral Health Inc. can be contacted via phone (319) 883-3067, or through Goodson, David Wayne via phone (319) 883-3067.

Contact Information

Primary practice address
515 Beech St Waterloo IA 50703-3317
Fax: (319) 883-3069
Website:
Authorized official contact:
Name: Goodson, David Wayne MSW

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1780977959
LBN Legal business name Bakari Behavioral Health Inc.
DBA Doing business as
Authorized official Goodson, David Wayne MSW
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2011
Last updated Aug 8th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780977959 NPPES
Texas MEDICAID 370601201
Texas MEDICAID 1780977959

Popular Providers