Organization · Type 2 NPI

Grand Lake Mental Health Center, Inc.

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

NPI number 1255979415 Active

Practice location

1015 W Washbourne St
Jay, OK 74346-4205

Call (918) 308-5513 Map

Fax (918) 253-6645

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 1255979415

Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1255979415, issued on Dec 18, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Jay, OK. The record was last updated on Jun 13, 2022.