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Organization
MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
Active
Organization
MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E. LEE LCSW (EXECUTIVE DIRECTOR)
(580) 223-5070
Entity
Organization
Contact information
Practice address
93 BROADLAWN VILLAGE, ARDMORE, OK 73401-1722
(580) 223-2537
(580) 223-2487
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 223-5070
(580) 223-5617
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728830
—
OK
Enumeration date
07/24/2008
Last updated
07/24/2008
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