Mental Health Services of Southern Oklahoma

NPI #1427213982 in Ardmore, Oklahoma

Provider Information

NPI Number: 1427213982
Entity Type: Organization
Organization Name: Mental Health Services of Southern Oklahoma
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 24, 2008
Last Updated: Jul 24, 2008

Practice Location

Address: 93 BROADLAWN VILLAGE
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1722
Phone: (580) 223-2537

Authorized Official

Name: MR. 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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