institution
Grand Lake Mental Health Center, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, Oklahoma
NPI 1497762520

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 Miami, OK. The NPI Number for Grand Lake Mental Health Center, Inc. is 1497762520 and holds a License No. (Oklahoma).

The current practice location address for Grand Lake Mental Health Center, Inc. is 111 S Treaty Rd, Miami, OK and can be reached out via phone at 918-540-1511 and via fax at 918-542-7374. You can also correspond with Grand Lake Mental Health Center, Inc. through the mailing address at 114 W DELAWARE AVE, NOWATA, OK - 74048-2601 (mailing address contact number: 918-540-1511).

Location: 111 S Treaty Rd, Miami, OK, 74048-2601
institution
Provider Profile Details
NPI Number
1497762520
Provider Name
Grand Lake Mental Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
111 S Treaty Rd, Miami, OK, 74048-2601
Phone Number
918-540-1511
Fax Number
918-542-7374
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100732860G 05 OK
institution
Provider Business Practice Location Address Details
Address
111 S Treaty Rd
City
State
Zip
74354-5327
Phone Number
918-540-1511
Fax Number
918-542-7374
person
Provider Business Mailing Address Details
Address
111 S Treaty Rd
City
State
Zip
74354-5327
Phone Number
918-540-1511
Fax Number
918-542-7374
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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