Organization · Type 2 NPI

Grand Lake Mental Health Center, Inc.

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

NPI number 1487201133 Active

Practice location

6128 E 38th St
Tulsa, OK 74135-5832

Call (918) 664-4224 Map

Fax (918) 663-0203

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 1487201133

Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1487201133, issued on Aug 19, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tulsa, OK. The record was last updated on Dec 5, 2022.