NPI 1003456732

Grand Lake Mental Health Center, INC.

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Perry, OK

Practice location

Address: 502 N 14th St, Perry, OK 73077-5022
Phone: (918) 308-5512
Fax: (580) 215-5767
Mailing address: 114 W Delaware Ave, Nowata, OK 74048-2601

Authorised official

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

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Oklahoma →

Registry record

NPI: 1003456732
Entity type: Organization
NPI issued: 10 Jan 2020
Record last updated: 13 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.