Grand Lake Mental Health Center Inc.

NPI #1679983696 in Vinita, Oklahoma

Provider Information

NPI Number
1679983696
Entity Type
Organization
Organization Name
Grand Lake Mental Health Center Inc.
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Apr 29, 2014
Last Updated
Jul 31, 2020

Practice Location

Address
405 E EXCELSIOR AVE
City
Vinita
ZIP Code
74301-4226
Phone
(918) 256-6476

Authorized Official

Name
MR. LARRY SMITH
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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