Organization
STAROAKS BEHAVIORAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINA OMOGHENE JOEL (ADMINISTRATOR)
(713) 909-6953
Entity
Organization
Contact information
Practice address
6545 E VIA ARROYO LARGO, TUCSON, AZ 85756-8403
(713) 909-6953
Mailing address
6545 E VIA ARROYO LARGO, TUCSON, AZ 85756-8403
(713) 909-6953
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BH4920
AZ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH6749
—
AZ
05
—
BHRF20132
—
AZ
Enumeration date
10/18/2016
Last updated
02/06/2026
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