| Grand Mental Health | |
|
1370 Se Washington Blvd Bartlesville OK 74006-4519 | |
| (918) 337-8080 | |
| Not Available |
| Full Name | Grand Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1370 Se Washington Blvd, Bartlesville, 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 1370 Se Washington Blvd Bartlesville OK 74006-4519 Ph: () - | Grand Mental Health 1370 Se Washington Blvd Bartlesville OK 74006-4519 Ph: (918) 337-8080 |
| NPI Number | 1003292061 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003292061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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