Organization
MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA THARP LPC (DEPUTY EXECUTIVE DIRECTOR)
(580) 223-5070
Entity
Organization
Contact information
Practice address
9432 N MAY AVE, SUITE D-2, OKLAHOMA CITY, OK 73120-2716
(405) 608-8030
Mailing address
9432 N MAY AVE, SUITE D-2, OKLAHOMA CITY, OK 73120-2716
(405) 608-8030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728830
—
OK
Enumeration date
01/09/2014
Last updated
01/09/2014
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