Grand Lake Mental Health Center, Inc.

NPI #1902487747 in Nowata, Oklahoma

Provider Information

NPI Number: 1902487747
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 14, 2021
Last Updated: Apr 14, 2021

Practice Location

Address: 325 S ASH ST
City: Nowata
State: Oklahoma
ZIP Code: 74048-4628
Phone: (918) 273-7344

Authorized Official

Name: 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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Grand Lake Mental Health Center, Inc.	Clinic/Center - Mental Health (Including Community Mental Health Center)	Nowata	AI Deep Dive
Grand Lake Mental Health Center, Inc.	Clinic/Center - Mental Health (Including Community Mental Health Center)	Nowata	AI Deep Dive
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