institution
Grand Lake Mental Health Center, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Blackwell, Oklahoma
NPI 1457922528

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 Blackwell, OK. The NPI Number for Grand Lake Mental Health Center, Inc. is 1457922528 and holds a License No. (Oklahoma).

The current practice location address for Grand Lake Mental Health Center, Inc. is 1313 W Ferguson Ave, Blackwell, OK and can be reached out via phone at 580-789-3100 and via fax at 580-956-8218.

Location: 1313 W Ferguson Ave, Blackwell, OK, 74048-2601
institution
Provider Profile Details
NPI Number
1457922528
Provider Name
Grand Lake Mental Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
1313 W Ferguson Ave, Blackwell, OK, 74048-2601
Phone Number
580-789-3100
Fax Number
580-956-8218
Provider Enumeration Date
07/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1313 W Ferguson Ave
City
State
Zip
74631-5604
Phone Number
580-789-3100
Fax Number
580-956-8218
person
Provider Business Mailing Address Details
Address
1313 W Ferguson Ave
City
State
Zip
74631-5604
Phone Number
580-789-3100
Fax Number
580-956-8218
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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