Organization · Type 2 NPI
Grand Lake Mental Health Center Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Tulsa, OK
NPI number
1659904076
Active
Practice location
6333 E Skelly Dr
Tulsa, OK 74135-6106
Fax (918) 273-1843
Mailing address
114 W Delaware Ave
Nowata, OK 74048-2601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1659904076
Grand Lake Mental Health Center Inc's National Provider Identifier is 1659904076, issued on Feb 13, 2020. 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 Sep 1, 2022.