Grand Lake Mental Health Center, Inc.

NPI #1679945927 in Stilwell, Oklahoma

Provider Information

NPI Number: 1679945927
Entity Type: Organization
Organization Name: Grand Lake Mental Health Center, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 27, 2015
Last Updated: Aug 1, 2018

Practice Location

Address: 106 W MAPLE ST
City: Stilwell
State: Oklahoma
ZIP Code: 74960
Phone: (918) 786-4434

Authorized Official

Name: CHARLES DANLEY
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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