Organization · Type 2 NPI

Grand Lake Mental Health Center, Inc.

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

NPI number 1710994835 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

Call (918) 256-6476 Map

Fax (918) 256-3628

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 1710994835

Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1710994835, issued on Aug 2, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Vinita, OK. The record was last updated on Jun 7, 2022.