Bakari Behavioral Health Inc.
Organization Active NPI Community/Behavioral Health Agency · Waterloo, IA
NPI 1780977959 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1780977959
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BAKARI BEHAVIORAL HEALTH INC.
- Practice address
- 515 Beech St
Waterloo, IA 50703-3317 - Phone
- (319) 883-3067
- Fax
- (319) 883-3069
- NPI assigned
- May 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. David Wayne Goodson, MSW
- Title
- President
- Phone
- (319) 883-3067
Practitioners 3
-
Janeece Hodge, LCSW
National Provider Directory
Locations
515 Beech St
Waterloo, IA 50703
Phone (319) 504-6388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
515 Beech St
Waterloo, IA 50703-3317
Mailing address
515 Beech St
Waterloo, IA 50703-3317
Phone (319) 883-3067
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370601201 | Medicaid | TX | |
| 1780977959 | Medicaid | IA |
Other providers in Waterloo, IA
- Eduardo Badillo Colberg
- Justin Bagby
- Esther Bahlmann
- Rasmira Bajramovic
- Kailey Bak
- Jane Marie Baker
- Katie R Baker
- Chelsey Elaine Ballard
- Katherine Marie Ballenger
- Erika Bandilla
All providers in Waterloo, IA · Community/Behavioral Health Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.