| Specialized Outpatient Services | |
|
5208 Classen Cir Oklahoma City OK 73118-4429 | |
| (405) 810-1766 | |
| (405) 810-0331 |
| Full Name | Specialized Outpatient Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5208 Classen Cir, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Mike James Maddox (ADOLESCENT PROGRAM DIRECTOR) |
| Authorized Official Contact | 4058101766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Outpatient Services 5208 Classen Cir Oklahoma City OK 73118-4429 Ph: (405) 810-1766 | Specialized Outpatient Services 5208 Classen Cir Oklahoma City OK 73118-4429 Ph: (405) 810-1766 |
| NPI Number | 1063624351 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063624351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 291 (* (Not Available)) | Primary |
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