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Grand Lake Mental Health Center, Inc.

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Pryor, OK

NPI 1336788652 · NPPES record last updated Jun 13, 2022

Key facts

NPI
1336788652
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
109 N Fairland St
Pryor, OK 74361-4203
Phone
(918) 825-1405
Fax
(918) 825-1406
NPI assigned
Jan 3, 2020
Organization subpart
No

Authorized official

Name
Larry Smith
Title
Ceo
Phone
(918) 273-1841

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Grand Lake Mental Health Center Inc (106 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

109 N Fairland St
Pryor, OK 74361-4203

Mailing address

114 W Delaware Ave
Nowata, OK 74048-2601
Phone (918) 273-1841

Other names

  • GRAND Mental Health Doing business as

Other providers in Pryor, OK

All providers in Pryor, OK · Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

Sources for this page

Verify at the official NPI Registry.