NPI 1003456948
Grand Lake Mental Health Center, INC.
Practice location
- Address
- 325 S Ash St, Nowata, OK 74048-4628
- Phone
- (918) 273-7344
- Fax
- (918) 273-5991
- 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
Registry record
- NPI
- 1003456948
- Entity type
- Organization
- NPI issued
- 8 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.