NPI 1336958123

Grand Lake Mental Health Center, INC.

Organisation Community/Behavioral Health Agency Stillwater, OK

Practice location

Address: 998 E Knotts Avenue, 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

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Oklahoma →

Registry record

NPI: 1336958123
Entity type: Organization
NPI issued: 6 Jan 2025
Record last updated: 6 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.