Organization · Type 2 NPI

Grand Lake Mental Health Center Inc

Community/Behavioral Health Agency · Ponca City, OK

NPI number 1356981138 Active

Practice location

407 W South Ave
Ponca City, OK 74601-6133

Fax (580) 215-5756

Mailing address

114 W Delaware Ave
Nowata, OK 74048-2601

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1356981138

Grand Lake Mental Health Center Inc's National Provider Identifier is 1356981138, issued on Jan 9, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Ponca City, OK. The record was last updated on Jun 7, 2022.