| Organization Name: | SOUTHERN OKLAHOMA TREATMENT SERVICES, INC. |
| NPI Number: | 1083786719 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MILTON EVANS (C.E.O.) |
| Mailing Address: | 905 Holiday Dr Ardmore |
| State: | OK US |
| Postal Code: | 734011216 |
| Phone Number: | 5802265003 |
| Fax Number: | 5802264998 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 11/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |