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Jacqueline Bontrager
Community/Behavioral Health Agency in Tulsa, Oklahoma
NPI 1245655448

Jacqueline Bontrager is a Community/Behavioral Health Agency based in Broken Arrow, OK. Jacqueline Bontrager practices in Tulsa, OK. The NPI Number for Jacqueline Bontrager is 1245655448 and holds a License No. (Oklahoma).

The current practice location address for Jacqueline Bontrager is 3015 E Skelly Dr, Tulsa, OK and can be reached out via phone at 918-712-0859.

Location: 3015 E Skelly Dr, Tulsa, OK, 74011-4511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245655448
Provider Name
Jacqueline Bontrager
Credential
Provider Entity Type
Individual
Gender
Female
Address
3015 E Skelly Dr, Tulsa, OK, 74011-4511
Phone Number
918-712-0859
Fax Number
Provider Enumeration Date
02/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100746170G 05 OK
institution
Provider Business Practice Location Address Details
Address
3015 E Skelly Dr
City
Tulsa
State
Oklahoma
Zip
74105-6317
Phone Number
918-712-0859
Fax Number
person
Provider Business Mailing Address Details
Address
3015 E Skelly Dr
City
Tulsa
State
Oklahoma
Zip
74105-6317
Phone Number
918-712-0859
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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