Brenda Sue Mathis
Brenda Sue Mathis is a Mental Illness Community Based Residential Treatment Facility in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.
- Licensed in
- OK
- In the registry since
- 2009
- Specialties on file
- 3
Practice location Address checks out
4034 W Roanoke PlBroken Arrow, OK 74011-1327
Phone: (918) 698-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X (OK) |
|---|---|
| Psychiatric Residential Treatment Facility | Taxonomy 323P00000X (OK) |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X (OK) |
Record details
| NPI number | 1215261086 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brenda Mathis — Owner · (918) 698-7171 |
| Other names | Brenda Sue Mathis |
| NPI enumerated | September 28, 2009 |
| Last updated in NPPES | September 28, 2009 |
| Mailing address | 4034 W Roanoke Pl, Broken Arrow, OK 74011-1327 |