Organization · Type 2 NPI
Grand Lake Mental Health Center, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) · Fairview, OK
NPI number
1003735986
Active
Practice location
1425 N Main St Ste 4
Fairview, OK 73737-2725
Mailing address
114 W Delaware Ave
Nowata, OK 74048-2601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
About NPI 1003735986
Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1003735986, issued on Jul 14, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fairview, OK. The record was last updated on Aug 25, 2026.