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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 E LEE LCSW (EXECUTIVE DIRECTOR)
(580) 223-5070
Entity
Organization

Contact information

Practice address
209 E WILSON ST, TISHOMINGO, OK 73460-2200
(580) 371-0109
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 223-5070
(580) 223-5617

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100728830F
OK
Enumeration date
12/12/2007
Last updated
11/18/2008
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