Grand Lake Mental Health Center, Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Nowata, OK
NPI 1003456948 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1003456948
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- GRAND LAKE MENTAL HEALTH CENTER, INC.
- Practice address
- 325 S Ash St
Nowata, OK 74048-4628 - Phone
- (918) 273-7344
- Fax
- (918) 273-5991
- NPI assigned
- Jan 8, 2020
- Organization subpart
- No
Authorized official
- Name
- Larry Smith
- Title
- Ceo
- Phone
- (918) 273-1841
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Grand Lake Mental Health Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
325 S Ash St
Nowata, OK 74048-4628
Mailing address
114 W Delaware Ave
Nowata, OK 74048-2601
Phone (918) 273-1841
Other names
- GRAND Mental Health
Other providers in Nowata, OK
- Brandy Gardner
- Chrystal Garrison
- Mary Elizabeth Gassett
- Jeffrey Lynn Gibson
- Grand Lake Mental Health Center Inc.
- Grand Lake Mental Health Center, Inc.
- Grand Lake Mental Health Center, Inc.
- Green Country Medical, Inc
- Green Country Medical, Inc.
- Green Country Medical, Inc.
All providers in Nowata, OK · Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.