Grand Lake Mental Health Center Inc.

NPI #1982391728 in Pryor, Oklahoma

Provider Information

NPI Number: 1982391728
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 21, 2023
Last Updated: Apr 21, 2023

Practice Location

Address: 231 E GRAHAM AVE
City: Pryor
State: Oklahoma
ZIP Code: 74361-2436
Phone: (918) 825-1405

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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