| Mental Health Services Of Southern Oklahoma | |
|
15 Monroe St Ne Ardmore OK 73401-2025 | |
| (580) 226-5048 | |
| (580) 226-3569 |
| Full Name | Mental Health Services Of Southern Oklahoma |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15 Monroe St Ne, Ardmore, Oklahoma |
| Authorized Official Name and Position | Jessica Pfau (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5803197305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Services Of Southern Oklahoma Po Box 189 Ardmore OK 73402-0189 Ph: (580) 319-7305 | Mental Health Services Of Southern Oklahoma 15 Monroe St Ne Ardmore OK 73401-2025 Ph: (580) 226-5048 |
| NPI Number | 1518407360 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 03/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518407360 | NPI | - | NPPES |
| 100728830 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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