Grand Lake Mental Health Center, Inc.

NPI #1710994835 in Vinita, Oklahoma

Provider Information

NPI Number
1710994835
Entity Type
Organization
Organization Name
Grand Lake Mental Health Center, Inc.
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Aug 2, 2006
Last Updated
Jun 7, 2022

Practice Location

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

Authorized Official

Name
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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