| Southern Oklahoma Treatment Services, Inc. | |
|
4801 Classen Suite 149 Okc OK 73118 | |
| (405) 842-8949 | |
| (405) 879-2171 |
| Full Name | Southern Oklahoma Treatment Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4801 Classen, Okc, Oklahoma |
| Authorized Official Name and Position | Milton Evans (CEO) |
| Authorized Official Contact | 5805641660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oklahoma Treatment Services, Inc. 4801 Classen Suite 249 Okc OK 73118 Ph: () - | Southern Oklahoma Treatment Services, Inc. 4801 Classen Suite 149 Okc OK 73118 Ph: (405) 842-8949 |
| NPI Number | 1922177716 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2365634557 |
|---|---|
| Medicare Enrollment ID | O20200115000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922177716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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