Grand Lake Mental Health Center, Inc.

NPI #1295319812 in Vinita, Oklahoma

Provider Information

NPI Number
1295319812
Entity Type
Organization
Organization Name
Grand Lake Mental Health Center, Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 10, 2021
Last Updated
Jun 13, 2022

Practice Location

Address
405 E EXCELSIOR AVE
City
Vinita
ZIP Code
74301-4226
Phone
(918) 256-6476

Authorized Official

Name
LARRY SMITH
Title
CEO
Phone
(918) 273-1841

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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