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Brenda Sue Mathis
Substance Abuse Rehabilitation Facility in Broken Arrow, Oklahoma
NPI 1215261086

Brenda Sue Mathis is a Substance Abuse Rehabilitation Facility based in Broken Arrow, OK. Brenda Sue Mathis practices in Broken Arrow, OK. The NPI Number for Brenda Sue Mathis is 1215261086 and holds a License No. (Oklahoma).

The current practice location address for Brenda Sue Mathis is 4034 W Roanoke Pl, Broken Arrow, OK and can be reached out via phone at 918-698-7171.

Location: 4034 W Roanoke Pl, Broken Arrow, OK, 74011-1327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215261086
Provider Name
Brenda Sue Mathis
Credential
Provider Entity Type
Organization
Address
4034 W Roanoke Pl, Broken Arrow, OK, 74011-1327
Phone Number
918-698-7171
Fax Number
Provider Enumeration Date
09/28/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4034 W Roanoke Pl
City
Broken Arrow
State
Oklahoma
Zip
74011-1327
Phone Number
918-698-7171
Fax Number
person
Provider Business Mailing Address Details
Address
4034 W Roanoke Pl
City
Broken Arrow
State
Oklahoma
Zip
74011-1327
Phone Number
918-698-7171
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(Oklahoma)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
(Oklahoma)
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Oklahoma)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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