NPIMap

Organization Active NPI

Southern Oklahoma Treatment Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ardmore, OK
National Provider Identifier
1952949349
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.
Practice address
2502 Crossroads Dr Ste a
Ardmore, OK 73401-2503
Phone
(580) 226-5219
NPI assigned
Dec 16, 2019
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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2502 Crossroads Dr Ste a
Ardmore, OK 73401-2503

Mailing address

PO Box 1710
Kingston, OK 73439-1710
Phone (580) 564-7374

Other identifiers 1

IdentifierTypeStateIssuer
200428190DMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Southern Oklahoma Treatment Services Inc37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

2502 Crossroads Dr
Ste A
Ardmore, OK 73401
Phone (580) 226-5209

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1952949349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1710",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734391710",
            "telephone_number": "580-564-7374",
            "fax_number": "855-286-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 CROSSROADS DR STE A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012503",
            "telephone_number": "580-226-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "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": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200428190D",
            "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.