Provider Demographics
NPI:1023210416
Name:ROGERS COUNTY DRUG ABUSE PROGRAM INC
Entity Type:Organization
Organization Name:ROGERS COUNTY DRUG ABUSE PROGRAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SEYMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:918-342-3334
Mailing Address - Street 1:PO BOX 981
Mailing Address - Street 2:102 N SEMINOLE
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017
Mailing Address - Country:US
Mailing Address - Phone:918-342-3334
Mailing Address - Fax:918-342-3367
Practice Address - Street 1:102 N SEMINOLE
Practice Address - Street 2:ROGERS COUNTY DRUG ABUSE PROGRAM
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017
Practice Address - Country:US
Practice Address - Phone:918-342-3334
Practice Address - Fax:918-342-3367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility