NPI 1457922528

Grand Lake Mental Health Center, INC.

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

Practice location

Address: 1313 W Ferguson Ave, Blackwell, OK 74631-5604
Phone: (580) 789-3100
Fax: (580) 956-8218
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: 1457922528
Entity type: Organization
NPI issued: 8 Jul 2021
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.