Grand Lake Mental Health Center, Inc.

NPI #1982301081 in Tulsa, Oklahoma

Provider Information

NPI Number: 1982301081
Entity Type: Organization
Organization Name: Grand Lake Mental Health Center, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 9, 2023
Last Updated: Feb 9, 2023

Practice Location

Address: 6128 E 38TH ST
City: Tulsa
State: Oklahoma
ZIP Code: 74135-5832
Phone: (918) 664-4224

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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