Organization · Type 2 NPI

Grand Lake Mental Health Center Inc

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

NPI number 1134539141 Active

Practice location

3100 Medical Pkwy
Claremore, OK 74017-1088

Fax (918) 342-0087

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 1134539141

Grand Lake Mental Health Center Inc's National Provider Identifier is 1134539141, issued on Apr 29, 2014. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Claremore, OK. The record was last updated on Mar 30, 2021.