Grand Mental Health | |
907 W Caddo St Cleveland OK 74020-4201 | |
(918) 305-5511 | |
(918) 205-2701 |
Full Name | Grand Mental Health |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 907 W Caddo St, Cleveland, Oklahoma |
Authorized Official Name and Position | Larry Smith (CEO) |
Authorized Official Contact | 9182731841 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grand Mental Health 114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 273-1841 | Grand Mental Health 907 W Caddo St Cleveland OK 74020-4201 Ph: (918) 305-5511 |
NPI Number | 1609434257 |
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Provider Enumeration Date | 05/30/2019 |
Last Update Date | 06/07/2022 |
Certification Date | 06/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609434257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-308-5511 Fax: 918-205-2701 | |
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