Grand Lake Mental Health Center, INC

NPI #1992404719 in Claremore, Oklahoma

Provider Information

NPI Number: 1992404719
Entity Type: Organization
Organization Name: Grand Lake Mental Health Center, INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 1, 2023
Last Updated: Oct 2, 2024

Practice Location

Address: 12005 E 470 RD
City: Claremore
State: Oklahoma
ZIP Code: 74017-3737
Phone: (918) 342-0770

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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