NPI 1760896385

Tiffany Mathes, LPN

Practitioner Substance Abuse Rehabilitation Facility Oklahoma City, OK

Practice location

Address: 1215 NW 25th St, Oklahoma City, OK 73106-5629
Phone: (405) 525-2525
Fax: (405) 524-3549

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 59721 (OK)

Other Substance Abuse Rehabilitation Facility providers in Oklahoma →

Registry record

NPI: 1760896385
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2014
Record last updated: 12 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.