Grand Lake Mental Health Center, Inc.

NPI #1487366746 in Jay, Oklahoma

Provider Information

NPI Number
1487366746
Entity Type
Organization
Organization Name
Grand Lake Mental Health Center, Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 19, 2022
Last Updated
Dec 19, 2022

Practice Location

Address
1015 W WASHBOURNE ST
City
Jay
ZIP Code
74346-4205
Phone
(918) 308-5513

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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