Organization · Type 2 NPI

Grand Lake Mental Health Center, Inc.

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

NPI number 1336788652 Active

Practice location

109 N Fairland St
Pryor, OK 74361-4203

Call (918) 825-1405 Map

Fax (918) 825-1406

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 1336788652

Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1336788652, issued on Jan 3, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Pryor, OK. The record was last updated on Jun 13, 2022.