Organization
SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON RENE MURPHY (VICE PRESIDENT OF ADMINSTRATIVE)
(580) 745-9610
Entity
Organization
Contact information
Practice address
512 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-3672
(580) 371-3651
Mailing address
PO BOX 1710, KINGSTON, OK 73439-1710
(580) 745-9610
(580) 745-9891
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708380
—
OK
Enumeration date
02/28/2014
Last updated
02/28/2014
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