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 LEE MSW (EXECUTIVE DIRECTOR)
(580) 223-5070
Entity
Organization
Contact information
Practice address
209 E WILSON ST, TISHOMINGO, OK 73460-2200
(580) 371-3019
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 223-5070
(580) 223-5617
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200129610 D
—
OK
Enumeration date
05/27/2008
Last updated
05/27/2008
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