NPI 1255142741
Grand Lake Mental Health Center, INC.
Practice location
- Address
- 998 E Knotts Ave, Stillwater, OK 74075-3023
- Phone
- (405) 372-2202
- Fax
- (405) 372-2237
- Mailing address
- 114 W Delaware Ave, Nowata, OK 74048-2601
Authorised official
- Name
- Joshua Cantwell
- Title
- Ceo
- Phone
- (918) 273-1841
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1255142741
- Entity type
- Organization
- NPI issued
- 15 Jan 2025
- Record last updated
- 15 Jan 2025
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.