NPIMap

Organization Active NPI

Southern Oklahoma Treatment Services, Inc.

  • Methadone Clinic
  • Ardmore, OK
National Provider Identifier
1083786719
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.
Practice address
905 Holiday Dr
Ardmore, OK 73401-1216
Phone
(580) 226-5003
Fax
(580) 226-4998
NPI assigned
Nov 15, 2006
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bre'Yon James
Title
Director of Operations
Phone
(918) 490-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

905 Holiday Dr
Ardmore, OK 73401-1216

Mailing address

905 Holiday Dr
Ardmore, OK 73401-1216
Phone (580) 226-5003

Other identifiers 1

IdentifierTypeStateIssuer
200049040 EMedicaidOK

National Provider Directory

National Provider Directory

Locations

905 Holiday Dr
Ardmore, OK 73401
Phone (580) 226-5003

4149 Highline Blvd
Ste 380
Oklahoma City, OK 73108
Phone (405) 942-7650

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1083786719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HOLIDAY DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011216",
            "telephone_number": "580-226-5003",
            "fax_number": "580-226-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HOLIDAY DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011216",
            "telephone_number": "580-226-5003",
            "fax_number": "580-226-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "BRE'YON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "918-490-3800"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200049040 E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.