| Grand Mental Health | |
|
407 W South Ave Ponca City OK 74601-6133 | |
| (580) 749-5056 | |
| (580) 215-5756 |
| Full Name | Grand Mental Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 407 W South Ave, Ponca City, 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 Mental Health 114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 273-1841 | Grand Mental Health 407 W South Ave Ponca City OK 74601-6133 Ph: (580) 749-5056 |
| NPI Number | 1356981138 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356981138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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