| Southern Oklahoma Treatment Services, Inc. | |
|
106 North Burris Street Tishomingo OK 73460 | |
| (580) 371-3672 | |
| (580) 371-3651 |
| Full Name | Southern Oklahoma Treatment Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 106 North Burris Street, Tishomingo, Oklahoma |
| Authorized Official Name and Position | Milton Evans (CEO) |
| 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. 512 E 24th St Tishomingo OK 73460-3214 Ph: (580) 371-3672 | Southern Oklahoma Treatment Services, Inc. 106 North Burris Street Tishomingo OK 73460 Ph: (580) 371-3672 |
| NPI Number | 1730258526 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730258526 | NPI | - | NPPES |
| 200049040 H | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Mental Health And Substance Abuse Centers Of Southern Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E Wilson St, Tishomingo, OK 73460 Phone: 580-371-3019 | |
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Pennington Creek Life House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Main St, Tishomingo, OK 73460 Phone: 580-371-3776 | |
Hartsell Psychological Services, Inc 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 | |
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 Fax: 580-371-3651 | |
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 |