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Organization
SISU YOUTH, INC.
Active
Organization
SISU YOUTH, INC.
Active
Other names
Sisu Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEAGAN KAYE MATHIS LPC (CLINICAL SERVICES MANAGER)
(405) 589-5709
Entity
Organization
Contact information
Practice address
2129 NW 30TH ST, OKLAHOMA CITY, OK 73112-7901
(405) 459-7478
Mailing address
3131 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73112-7931
(405) 589-5709
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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