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

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 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.