Organization · Type 2 NPI
Grand Lake Mental Health Center, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · West Siloam Springs, OK
NPI number
1205466372
Active
Practice location
3186 W Hwy 412
West Siloam Springs, OK 74338-1356
Fax (918) 205-2712
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...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in West Siloam Springs
About NPI 1205466372
Grand Lake Mental Health Center, Inc's National Provider Identifier is 1205466372, issued on Jan 17, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in West Siloam Springs, OK. The record was last updated on Jun 13, 2022.