institution
Grand Lake Mental Health Center Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Ponca City, Oklahoma
NPI 1043842370

Grand Lake Mental Health Center Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Nowata, OK and is specialized in Mental Health (Including Community Mental Health Center). Grand Lake Mental Health Center Inc practices in Ponca City, OK. The NPI Number for Grand Lake Mental Health Center Inc is 1043842370 and holds a License No. (Oklahoma).

The current practice location address for Grand Lake Mental Health Center Inc is 407 W South Ave, Ponca City, OK and can be reached out via phone at 580-308-5515 and via fax at 580-749-5792.

Location: 407 W South Ave, Ponca City, OK, 74048-2601
institution
Provider Profile Details
NPI Number
1043842370
Provider Name
Grand Lake Mental Health Center Inc
Credential
Provider Entity Type
Organization
Address
407 W South Ave, Ponca City, OK, 74048-2601
Phone Number
580-308-5515
Fax Number
580-749-5792
Provider Enumeration Date
02/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
407 W South Ave
City
State
Zip
74601-6133
Phone Number
580-308-5515
Fax Number
580-749-5792
person
Provider Business Mailing Address Details
Address
407 W South Ave
City
State
Zip
74601-6133
Phone Number
580-308-5515
Fax Number
580-749-5792
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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