Grand Lake Mental Health Center INC

NPI #1457993834 in Pawhuska, Oklahoma

Provider Information

NPI Number
1457993834
Entity Type
Organization
Organization Name
Grand Lake Mental Health Center INC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Oct 17, 2019
Last Updated
Oct 31, 2022

Practice Location

Address
1228 PECAN
ZIP Code
74056-5928
Phone
(918) 604-6054

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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