Organization · Type 2 NPI

Grand Lake Mental Health Center, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Perry, OK

NPI number 1003456732 Active

Practice location

502 N 14th St
Perry, OK 73077-5022

Fax (580) 215-5767

Mailing address

114 W Delaware Ave
Nowata, OK 74048-2601

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1003456732

Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1003456732, issued on Jan 10, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Perry, OK. The record was last updated on Jun 13, 2022.