Organization · Type 2 NPI

Grand Lake Mental Health Center, Inc.

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

NPI number 1851931794 Active

Practice location

110 N 4th St
Ponca City, OK 74601-4527

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...

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About NPI 1851931794

Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1851931794, issued on Jan 8, 2020. 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 Jan 8, 2020.