| Grand Lake Mental Health Center, Inc. | |
|
1010 Harber Rd Grove OK 74344-5147 | |
| (918) 786-4434 | |
| (918) 786-4435 |
| Full Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1010 Harber Rd, Grove, 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. 1010 Harber Rd Grove OK 74344-5147 Ph: (918) 786-4434 |
| NPI Number | 1598216087 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598216087 | 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: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 | |
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Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 | |
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