Organization · Type 2 NPI

Grand Lake Mental Health Center, Inc.

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

NPI number 1568042380 Active

Practice location

2225 N Union St.
Ponca City, OK 74601-1536

Call (918) 308-5515 Map

Fax (580) 215-5765

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...

7 other providers at this address

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About NPI 1568042380

Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1568042380, issued on Apr 14, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Ponca City, OK. The record was last updated on Apr 14, 2021.