| Southern Oklahoma Treatment Services, Inc. | |
|
512 E 24th St Tishomingo OK 73460-3214 | |
| (580) 371-3672 | |
| Not Available |
| Full Name | Southern Oklahoma Treatment Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 512 E 24th St, Tishomingo, Oklahoma |
| Authorized Official Name and Position | Virginia Ragan (ADMIN) |
| Authorized Official Contact | 5805647374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oklahoma Treatment Services, Inc. Po Box 48 Mead OK 73449-0048 Ph: (580) 564-7374 | Southern Oklahoma Treatment Services, Inc. 512 E 24th St Tishomingo OK 73460-3214 Ph: (580) 371-3672 |
| NPI Number | 1568000966 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 12/16/2019 |
| Certification Date | 12/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568000966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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