BRENDA SUE MATHIS – NPI #1215261086
Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
BRENDA SUE MATHIS is a community based residential treatment facility located in BROKEN ARROW, OK. NPPES has assigned the NPI number 1215261086 to BRENDA SUE MATHIS on September 28, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
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NPI Profile for
BRENDA SUE MATHIS
(more than 16 years ago)
BROKEN ARROW, OK 74011-1327 Phone: (918) 698-7171 Fax:
OWNER
Phone: (918) 698-7171
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
OK | |
| 324500000X - Substance Abuse Rehabilitation Facility |
OK | |
| 323P00000X - Psychiatric Residential Treatment Facility |
OK |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.