# SOUTHERN OKLAHOMA TREATMENT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033456355
- **Authorized official:** SHANDY SHUBIN (ADMINISTRATION)
- **Authorized official phone:** (405) 208-9354

## Contact information

- **Practice address:** 1307 SW WASHINGTON AVE, LAWTON, OK 73501-7231
- **Practice address phone:** (405) 208-9354
- **Mailing address:** PO BOX 48, MEAD, OK 73449-0048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2013
- **Last updated:** 01/07/2013