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Grand Lake Mental Health Center, Inc.

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

NPI 1659952497 · NPPES record last updated Apr 14, 2021

Key facts

NPI
1659952497
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
907 W Caddo St
Cleveland, OK 74020-4201
Phone
(918) 308-5511
Fax
(918) 205-2701
NPI assigned
Apr 14, 2021
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

907 W Caddo St
Cleveland, OK 74020-4201

Mailing address

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

Other names

  • Grand Lake Medical Health Center Doing business as

Other providers in Cleveland, OK

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

Sources for this page

Verify at the official NPI Registry.