| Southern Oklahoma Treatment Services | |
|
1307 Sw Washington Ave Lawton OK 73501-7231 | |
| (405) 208-9354 | |
| Not Available |
| Full Name | Southern Oklahoma Treatment Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1307 Sw Washington Ave, Lawton, Oklahoma |
| Authorized Official Name and Position | Shandy Shubin (ADMINISTRATION) |
| Authorized Official Contact | 4052089354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oklahoma Treatment Services Po Box 48 Mead OK 73449-0048 Ph: () - | Southern Oklahoma Treatment Services 1307 Sw Washington Ave Lawton OK 73501-7231 Ph: (405) 208-9354 |
| NPI Number | 1033456355 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 01/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033456355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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