Taxonomy Code 320800000X(320800000x)
Mental Illness Community Based Residential Treatment Facility. Providers: 1

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Mental Illness Community Based Residential Treatment Facility Providers

NPI Name Type Address

1215261086

Brenda Sue Mathis

Organization

4034 W Roanoke Pl

Broken Arrow, OK

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 320800000X
Display Name Mental Illness Community Based Residential Treatment Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Community Based Residential Treatment Facility, Mental Illness
Definition A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Effective Date September 30, 2009
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