Mental Health Services of Southern Oklahoma

NPI #1295871499 in Marietta, Oklahoma

Provider Information

NPI Number: 1295871499
Entity Type: Organization
Organization Name: Mental Health Services of Southern Oklahoma
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 29, 2007
Last Updated: Dec 12, 2007

Practice Location

Address: 200 WANDA ST
City: Marietta
State: Oklahoma
ZIP Code: 73448
Phone: (580) 223-5070

Authorized Official

Name: ROBERT E LEE, LCSW
Title: EXECUTIVE DIRECTOR
Phone: (580) 223-5070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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