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Organization

MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SAN JUANA CHATHAM (FAMILY SUPPORT PROVIDER)
(580) 223-2537
Entity
Organization

Contact information

Practice address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 223-2537
(580) 223-2487
Mailing address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 223-2537

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/06/2011
Last updated
09/06/2011
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