| Grand Lake Mental Health Center Inc | |
|
700 S Penn Ave Bartlesville OK 74003-3847 | |
| (918) 337-8080 | |
| (918) 337-8099 |
| Full Name | Grand Lake Mental Health Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 S Penn Ave, 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 Lake Mental Health Center Inc 114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 273-1841 | Grand Lake Mental Health Center Inc 700 S Penn Ave Bartlesville OK 74003-3847 Ph: (918) 337-8080 |
| NPI Number | 1407673387 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407673387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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