institution
Grand Lake Mental Health Center, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Grove, Oklahoma
NPI 1063429181

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 Grove, OK. The NPI Number for Grand Lake Mental Health Center, Inc. is 1063429181 and holds a License No. (Oklahoma).

The current practice location address for Grand Lake Mental Health Center, Inc. is 1115 Harbor Rd, Grove, OK and can be reached out via phone at 918-786-4434 and via fax at 918-786-4435.

Location: 1115 Harbor Rd, Grove, OK, 74048-2601
institution
Provider Profile Details
NPI Number
1063429181
Provider Name
Grand Lake Mental Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
1115 Harbor Rd, Grove, OK, 74048-2601
Phone Number
918-786-4434
Fax Number
918-786-4435
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100728510O 05 OK
institution
Provider Business Practice Location Address Details
Address
1115 Harbor Rd
City
State
Zip
74344-3505
Phone Number
918-786-4434
Fax Number
918-786-4435
person
Provider Business Mailing Address Details
Address
1115 Harbor Rd
City
State
Zip
74344-3505
Phone Number
918-786-4434
Fax Number
918-786-4435
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.
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Definition
Definition to come...
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