Provider Demographics
NPI:1841418514
Name:MORNING STAR A.T.U.
Entity Type:Organization
Organization Name:MORNING STAR A.T.U.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR - OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MILES
Authorized Official - Last Name:COWAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS, LCDC, ADC-III
Authorized Official - Phone:5802-376-5443
Mailing Address - Street 1:PO BOX 500
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OK
Mailing Address - Zip Code:73448-0500
Mailing Address - Country:US
Mailing Address - Phone:580-276-5443
Mailing Address - Fax:580-276-5443
Practice Address - Street 1:RR 3 BOX 19
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OK
Practice Address - Zip Code:73448-9604
Practice Address - Country:US
Practice Address - Phone:580-276-5443
Practice Address - Fax:580-276-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========OtherEIN