institution
Grand Lake Mental Health Center, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Wagoner, Oklahoma
NPI 1255704250

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 Wagoner, OK. The NPI Number for Grand Lake Mental Health Center, Inc. is 1255704250 and holds a License No. (Oklahoma).

The current practice location address for Grand Lake Mental Health Center, Inc. is 2109 S Highway 69, Wagoner, OK and can be reached out via phone at 918-273-1841 and via fax at 918-273-1843.

Location: 2109 S Highway 69, Wagoner, OK, 74048-2601
institution
Provider Profile Details
NPI Number
1255704250
Provider Name
Grand Lake Mental Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
2109 S Highway 69, Wagoner, OK, 74048-2601
Phone Number
918-273-1841
Fax Number
918-273-1843
Provider Enumeration Date
11/12/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2109 S Highway 69
City
State
Zip
74467-9310
Phone Number
918-273-1841
Fax Number
918-273-1843
person
Provider Business Mailing Address Details
Address
2109 S Highway 69
City
State
Zip
74467-9310
Phone Number
918-273-1841
Fax Number
918-273-1843
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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