| Southern Oklahoma Treatment Services, Inc. | |
|
905 Holiday Dr Ardmore OK 73401-1216 | |
| (580) 226-5003 | |
| (580) 226-4998 |
| Full Name | Southern Oklahoma Treatment Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 905 Holiday Dr, Ardmore, Oklahoma |
| Authorized Official Name and Position | Milton Evans (C.E.O.) |
| Authorized Official Contact | 5803713672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oklahoma Treatment Services, Inc. 905 Holiday Dr Ardmore OK 73401-1216 Ph: (580) 226-5003 | Southern Oklahoma Treatment Services, Inc. 905 Holiday Dr Ardmore OK 73401-1216 Ph: (580) 226-5003 |
| NPI Number | 1083786719 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083786719 | NPI | - | NPPES |
| 200049040 E | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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