Grand Lake Mental Health Center Inc.

NPI #1841600863 in Afton, Oklahoma

Provider Information

NPI Number: 1841600863
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: 138 S MAIN
City: Afton
State: Oklahoma
ZIP Code: 74331-1822
Phone: (918) 257-4244

Authorized Official

Name: MR. LARRY SMITH
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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