Organization
SOUTHERN OKLAHOMA TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON EVANS (CEO)
5805807459610
Entity
Organization
Contact information
Practice address
5862 US HWY 70, MEAD, OK 73449
(580) 745-9610
Mailing address
PO BOX 48, MEAD, OK 73449-0048
(580) 745-9610
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
20938
OK
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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