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

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 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.