| Grand Lake Mental Health Center, Inc. | |
|
1015 W Washbourne St Jay OK 74346-4205 | |
| (918) 308-5513 | |
| (918) 253-6645 |
| Full Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1015 W Washbourne St, Jay, 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. 1015 W Washbourne St Jay OK 74346-4205 Ph: (918) 308-5513 |
| NPI Number | 1487366746 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487366746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 W Washbourne St, Jay, OK 74346 Phone: 918-308-5513 Fax: 918-253-6645 | |
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Keetoowah Cherokee Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1367 N Main St, Jay, OK 74346 Phone: 918-708-9009 | |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 W Washbourne St, Jay, OK 74346 Phone: 918-305-5513 Fax: 918-253-6645 | |
Grand Lake Mental Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 W Washbourne St, Jay, OK 74346 Phone: 918-381-9090 Fax: 918-273-1843 | |
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