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Sequelcare of Oklahoma

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Antlers, OK

NPI 1174743470 · NPPES record last updated Dec 31, 2012

Key facts

NPI
1174743470
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
SEQUELCARE OF OKLAHOMA
Practice address
107 S High St
Antlers, OK 74523-3818
Phone
(580) 298-2830
NPI assigned
Apr 27, 2007
Organization subpart
No

Authorized official

Name
Dorothy Metcalf, MSW, LCSW, LADC
Title
Exec Dir
Phone
(580) 298-2830

Corporate family (same tax ID) 35

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

View all 35

National Provider Directory

Tax ID family
Sequelcare of Oklahoma LLC (36 organizations share this tax ID)

Locations

107 S High St
Antlers, OK 74523
Phone (580) 298-2830

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

107 S High St
Antlers, OK 74523-3818

Mailing address

PO Box 1030
Antlers, OK 74523-1030

Other identifiers

IdentifierTypeStateIssuer
731465316OtherOKCLINICIAN3

Other providers in Antlers, OK

All providers in Antlers, OK · Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

Sources for this page

Verify at the official NPI Registry.