Grand Lake Mental Health Center, Inc.

NPI #1760490791 in Vinita, Oklahoma

Provider Information

NPI Number
1760490791
Entity Type
Organization
Organization Name
Grand Lake Mental Health Center, Inc.
Primary Specialty
Case Management
Enumeration Date
Aug 4, 2006
Last Updated
Aug 22, 2020

Practice Location

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

Authorized Official

Name
REBECCA COX
Title
MIS/REIMBURSEMENT COORDINATOR
Phone
(918) 273-1841

Specialties & Taxonomy Codes

Specialty
Case Management

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