| Grand Lake Mental Health Center, Inc. | |
|
12005 E 470 Rd Claremore OK 74017-3737 | |
| (918) 342-0770 | |
| (918) 342-0087 |
| Full Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12005 E 470 Rd, Claremore, 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. 12005 E 470 Rd Claremore OK 74017-3737 Ph: (918) 342-0770 |
| NPI Number | 1477193316 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Certification Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477193316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Youthcare Of Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W 12th St, Claremore, OK 74017 Phone: 866-926-6552 Fax: 918-289-0551 | |
Jeffrey K Mcilroy Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2990 N Sioux Ave, Claremore, OK 74017 Phone: 918-342-2622 Fax: 918-342-2641 | |
Yco Alliance Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1402 N Florence Ave Ste B, Claremore, OK 74017 Phone: 918-608-0380 Fax: 918-770-9337 | |
Rogers County Youth Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 N Highway 88, Claremore, OK 74017 Phone: 918-341-7580 Fax: 918-341-7977 | |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17599 S Highway 88, Claremore, OK 74017 Phone: 918-342-0770 | |
A Peace Within, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 N Florence Ave, Suite A, Claremore, OK 74017 Phone: 918-697-4201 | |
Rogers County Training Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 El Anderson Blvd, Claremore, OK 74017 Phone: 918-341-5936 |