Grand Lake Mental Health Center INC

NPI #1659176238 in Skiatook, Oklahoma

Provider Information

NPI Number
1659176238
Entity Type
Organization
Organization Name
Grand Lake Mental Health Center INC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Feb 17, 2025
Last Updated
Feb 17, 2025

Practice Location

Address
201 S HOMINY AVE STE 201
ZIP Code
74070-3975
Phone
(918) 273-1841

Authorized Official

Name
JOSHUA CANTWELL
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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