Brenda Sue Mathis
NPI #1215261086 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1215261086
- Entity Type
- Organization
- Organization Name
- Brenda Sue Mathis
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Sep 28, 2009
- Last Updated
- Sep 28, 2009
Practice Location
- Address
- 4034 W ROANOKE PL
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-1327
- Phone
- (918) 698-7171
Authorized Official
- Name
- MS. BRENDA SUE MATHIS, MAMFT
- Title
- OWNER
- Phone
- (918) 698-7171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
| Substance Abuse Rehabilitation Facility |
| Community Based Residential Treatment Facility, Mental Illness |
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