Mental Health And Substance Abuse Centers Of Southern Oklahoma | |
91 Broadlawn Ardmore OK 73401 | |
(580) 223-5070 | |
Not Available |
Full Name | Mental Health And Substance Abuse Centers Of Southern Oklahoma |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 91 Broadlawn, Ardmore, Oklahoma |
Authorized Official Name and Position | Robert E Lee (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5802335070 |
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 91 Broadlawn Ardmore OK 73401 Ph: (580) 223-5070 |
NPI Number | 1144404252 |
---|---|
Provider Enumeration Date | 12/26/2007 |
Last Update Date | 12/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144404252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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