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Organization
MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
Active
Organization
MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
Active
Other names
Mental Health and Substance Abuse Centers of Southern Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E LEE LCSW (EXECUTIVE DIRECTOR)
(580) 223-5070
Entity
Organization
Contact information
Practice address
209 E WILSON ST, TISHOMINGO, OK 73460-2200
(580) 371-0109
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 223-5070
(580) 223-5617
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728830F
—
OK
Enumeration date
12/12/2007
Last updated
11/18/2008
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