Grand Lake Mental Health Center, Inc
Grand Lake Mental Health Center, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Blackwell, Oklahoma. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1313 W Ferguson AveBlackwell, OK 74631-5604
Phone: (580) 789-3100
Fax: (580) 956-8218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1831770676 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Smith — Ceo · (918) 273-1841 |
| Other names | Grand Mental Health |
| NPI enumerated | April 14, 2021 |
| Last updated in NPPES | June 13, 2022 |
| Certification date | June 13, 2022 |
| Mailing address | 114 W Delaware Ave, Nowata, OK 74048-2601 |
Other providers in Blackwell
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Grand Lake Mental Health Center, Inc
1313 W Ferguson Ave, Blackwell, OK 74631-5604 · (580) 789-3100