Organization
SEQUELCARE OF OKLAHOMA, LLC
Active
Parent organization
SEQUELCARE OF OKLAHOMA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUELCARE OF OKLAHOMA, LLC
Authorized official
DARLISSA DUNN (HUMAN RESOURCE MANAGER)
(580) 298-2830
Entity
Organization
Contact information
Practice address
6218 S LEWIS AVE STE 118, TULSA, OK 74136-1018
(539) 302-0361
Mailing address
PO BOX 1030, ANTLERS, OK 74523-1030
(580) 298-2830
(580) 298-6723
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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