| Mental Health And Substance Abuse Centers Of Southern Oklahoma | |
|
209 E Wilson St Tishomingo OK 73460-2200 | |
| (580) 371-3019 | |
| Not Available |
| Full Name | Mental Health And Substance Abuse Centers Of Southern Oklahoma |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 209 E Wilson St, Tishomingo, Oklahoma |
| Authorized Official Name and Position | Robert Lee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5802235070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health And Substance Abuse Centers Of Southern Oklahoma Po Box 189 Ardmore OK 73402-0189 Ph: (580) 223-5070 | Mental Health And Substance Abuse Centers Of Southern Oklahoma 209 E Wilson St Tishomingo OK 73460-2200 Ph: (580) 371-3019 |
| NPI Number | 1124286166 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124286166 | NPI | - | NPPES |
| 200129610 D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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Southern Oklahoma Treatment Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E 24th St, Tishomingo, OK 73460 Phone: 580-371-3672 | |
Hartsell Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 580-371-9933 Fax: 580-371-9944 |