Grand Lake Mental Health Center, Inc.

NPI #1679389829 in Jay, Oklahoma

Provider Information

NPI Number
1679389829
Entity Type
Organization
Organization Name
Grand Lake Mental Health Center, Inc.
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Dec 3, 2024
Last Updated
Dec 3, 2024

Practice Location

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

Authorized Official

Name
JOSHUA CANTWELL
Title
CEO
Phone
(918) 273-1841

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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