Organization
MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E LEE LCSW (EXECUTIVE DIRECTOR)
(580) 223-5070
Entity
Organization
Contact information
Practice address
93 BROADLAWN, ARDMORE, OK 73401-6337
(580) 223-5070
(580) 223-5617
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 223-5070
(580) 233-5617
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
12/13/2007
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