OrganizationActive
Community Youth Services of Southern Oklahoma, Inc.
NPI 1003949439 · Adolescent and Children Mental Health Clinic/Center · Ardmore, OK
Provider details
- NPI number
- 1003949439
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kaylyn Weldon Gary, Executive Director(580) 226-1838
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
830 Park St Se
Ardmore, OK 73401-8364
Phone: (580) 226-1838
Fax: (580) 223-7856
Approximate (ZIP-level) locationGet directions
Mailing address
830 Park St Se
Ardmore, OK 73401-8364
Additional practice locations (1)
- 15 Monroe St NeArdmore, OK 73401-2025Phone: (580) 226-1838Fax: (580) 223-7856
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.