institution
Grand Lake Mental Health Center, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Bartlesville, Oklahoma
NPI 1902813033

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 Bartlesville, OK. The NPI Number for Grand Lake Mental Health Center, Inc. is 1902813033 and holds a License No. (Oklahoma).

The current practice location address for Grand Lake Mental Health Center, Inc. is 705 S Virginia Ave, Bartlesville, OK and can be reached out via phone at 918-337-8080 and via fax at 918-337-8099.

Location: 705 S Virginia Ave, Bartlesville, OK, 74048-2601
institution
Provider Profile Details
NPI Number
1902813033
Provider Name
Grand Lake Mental Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
705 S Virginia Ave, Bartlesville, OK, 74048-2601
Phone Number
918-337-8080
Fax Number
918-337-8099
Provider Enumeration Date
08/02/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100732860I 05 OK
institution
Provider Business Practice Location Address Details
Address
705 S Virginia Ave
City
State
Zip
74003-4439
Phone Number
918-337-8080
Fax Number
918-337-8099
person
Provider Business Mailing Address Details
Address
705 S Virginia Ave
City
State
Zip
74003-4439
Phone Number
918-337-8080
Fax Number
918-337-8099
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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