Organization · Type 2 NPI

Grand Lake Mental Health Center Inc

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

NPI number 1043842370 Active

Practice location

407 W South Ave
Ponca City, OK 74601-6133

Call (580) 308-5515 Map

Fax (580) 749-5792

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 1043842370

Grand Lake Mental Health Center Inc's National Provider Identifier is 1043842370, issued on Feb 5, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Ponca City, OK. The record was last updated on Jun 13, 2022.