Grand Lake Mental Health Center, Inc.

NPI #1588672513 in Pryor, Oklahoma

Provider Information

NPI Number
1588672513
Entity Type
Organization
Organization Name
Grand Lake Mental Health Center, Inc.
Primary Specialty
Case Management
Enumeration Date
Aug 4, 2006
Last Updated
Jan 16, 2018

Practice Location

Address
109 N FAIRLAND ST
City
Pryor
ZIP Code
74361-4203
Phone
(918) 825-1405

Authorized Official

Name
REBECCA COX
Title
MIS/REIMBURSEMENT COORDINATOR
Phone
(918) 273-1841

Specialties & Taxonomy Codes

Specialty
Case Management

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