Organization · Type 2 NPI

Grand Lake Mental Health Center, Inc.

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

NPI number 1407228752 Active

Practice location

1323 W Keetoowah St
Tahlequah, OK 74464-3462

Fax (918) 777-9016

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...

12 other providers at this address

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About NPI 1407228752

Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1407228752, issued on Oct 27, 2015. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tahlequah, OK. The record was last updated on Jan 16, 2018.