| Southern Oklahoma Treatment Services | |
|
1012 W 3rd St Ste C Sulphur OK 73086-4801 | |
| (580) 564-7374 | |
| Not Available |
| Full Name | Southern Oklahoma Treatment Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1012 W 3rd St Ste C, Sulphur, Oklahoma |
| Authorized Official Name and Position | Courtney Laine Black (HR) |
| Authorized Official Contact | 5802350274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oklahoma Treatment Services Po Box 1710 Kingston OK 73439-1710 Ph: (580) 564-7374 | Southern Oklahoma Treatment Services 1012 W 3rd St Ste C Sulphur OK 73086-4801 Ph: (580) 564-7374 |
| NPI Number | 1033997861 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033997861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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