Organization
SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRE'YON JAMES (DIRECTOR OF OPERATIONS)
(918) 490-3800
Entity
Organization
Contact information
Practice address
512 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-3672
Mailing address
PO BOX 1710, KINGSTON, OK 73439-1710
(580) 564-7374
(855) 286-8580
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428190I
—
OK
Enumeration date
12/16/2019
Last updated
12/09/2025
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