# MHSSO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1386040970
- **Authorized official:** AMBER MAXBERRY B.A. (CRISIS CASE MANGER)
- **Authorized official phone:** (580) 320-8120

## Contact information

- **Practice address:** 111 E 12TH ST, ADA, OK 74820-6501
- **Practice address phone:** (580) 436-2690
- **Mailing address:** 2128 E SURREY LN, ADA, OK 74820-2865
- **Mailing address phone:** (580) 320-8120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2014
- **Last updated:** 11/10/2014