Grand Lake Mental Health Center, Inc.

NPI #1467460931 in Nowata, Oklahoma

Provider Information

NPI Number: 1467460931
Entity Type: Organization
Organization Name: Grand Lake Mental Health Center, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 3, 2006
Last Updated: Jun 25, 2024

Practice Location

Address: 114 W DELAWARE AVE
City: Nowata
State: Oklahoma
ZIP Code: 74048-2601
Phone: (918) 273-1841

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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