Organization · Type 2 NPI
Grand Lake Mental Health Center, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) · Sand Springs, OK
NPI number
1174428296
Active
Practice location
420 Plaza Ct
Sand Springs, OK 74063-7946
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...
About NPI 1174428296
Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1174428296, issued on Oct 9, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Sand Springs, OK. The record was last updated on Oct 9, 2026.