| Grand Lake Mental Health Center Inc | |
|
1015 W Washbourne St Jay OK 74346-4205 | |
| (918) 381-9090 | |
| (918) 273-1843 |
| Full Name | Grand Lake Mental Health Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1015 W Washbourne St, Jay, 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 1015 W Washbourne St Jay OK 74346-4205 Ph: (918) 381-9090 |
| NPI Number | 1689206922 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689206922 | 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: 1015 W Washbourne St, Jay, OK 74346 Phone: 918-308-5513 Fax: 918-253-6645 | |
Jay Public Schools Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 North Main, Jay, OK 74346 Phone: 918-253-4466 Fax: 918-253-5223 | |
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 Lake Mental Health Center, Inc. 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 | |
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 | |
Delaware County Friendship Homes Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Cherokee St, Jay, OK 74346 Phone: 918-253-6032 Fax: 918-253-4818 |