Individual provider · Type 1 NPI
Tiffany Mathes, LPN
Substance Abuse Rehabilitation Facility · Oklahoma City, OK
NPI number
1760896385
Active
Practice location
1215 NW 25th St
Oklahoma City, OK 73106-5629
Fax (405) 524-3549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 59721 (OK) |
Substance Abuse Rehabilitation Facility: 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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About NPI 1760896385
Tiffany Mathes, LPN's National Provider Identifier is 1760896385, issued on Jun 12, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 12, 2014.