Grand Lake Mental Health Center, Inc.

NPI #1952117194 in Vinita, Oklahoma

Provider Information

NPI Number
1952117194
Entity Type
Organization
Organization Name
Grand Lake Mental Health Center, Inc.
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Dec 3, 2024
Last Updated
Dec 3, 2024

Practice Location

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

Authorized Official

Name
JOSHUA CANTWELL
Title
CEO
Phone
(918) 273-1841

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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