Organization
SPECIALIZED OUTPATIENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L PATTERSON CADC (EXECUTIVE DIRECTOR)
(405) 810-1766
Entity
Organization
Contact information
Practice address
5208 CLASSEN CIRCLE, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
(405) 810-0331
Mailing address
5208 CLASSEN CIRCLE, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
(405) 810-0331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000076633
DOC VENDOR #
OK
01
—
958
ODMHSAS PROVIDER #
OK
Enumeration date
04/11/2007
Last updated
08/22/2020
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