| Grand Lake Mental Health Center, Inc. | |
|
138 S Main St Afton OK 74331-1822 | |
| (918) 257-4244 | |
| (918) 257-4247 |
| Full Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 138 S Main St, Afton, Oklahoma |
| Authorized Official Name and Position | Charles Danley (CEO) |
| Authorized Official Contact | 9182731841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Lake Mental Health Center, Inc. 114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 273-1841 | Grand Lake Mental Health Center, Inc. 138 S Main St Afton OK 74331-1822 Ph: (918) 257-4244 |
| NPI Number | 1366082208 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Certification Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366082208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Life Management, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 South Maple Avenue, Afton, OK 74331 Phone: 918-257-9570 | |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 S. Main, Afton, OK 74331 Phone: 918-257-2444 Fax: 918-257-4247 | |
Afton Public Schools Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 S Main St, Afton, OK 74331 Phone: 918-257-4470 Fax: 918-257-4846 | |
Grand Lake Medical Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 S Main, Afton, OK 74331 Phone: 918-257-4244 |