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Grand Lake Mental Health Center Inc

Organization Active NPI Community/Behavioral Health Agency · Tulsa, OK

NPI 1598533713 · NPPES record last updated Dec 18, 2023

Key facts

NPI
1598533713
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
GRAND LAKE MENTAL HEALTH CENTER INC
Practice address
6128 E 38TH St
Tulsa, OK 74135-5832
Phone
(918) 779-7144
Fax
(918) 663-0203
NPI assigned
Dec 18, 2023
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
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

6128 E 38TH St
Tulsa, OK 74135-5832

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 Tulsa, OK

All providers in Tulsa, OK · Community/Behavioral Health Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.