Organization · Type 2 NPI

Grand Lake Mental Health Center, Inc.

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

NPI number 1902487747 Active

Practice location

325 S Ash St
Nowata, OK 74048-4628

Fax (918) 999-0111

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 1902487747

Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1902487747, 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 Nowata, OK. The record was last updated on Apr 14, 2021.