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Organization

GRAND LAKE MENTAL HEALTH CENTER, INC.

Active
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Organization

GRAND LAKE MENTAL HEALTH CENTER, INC.

Active
Other names
Grand Lake Medical Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY SMITH (CEO)
(918) 273-1841
Entity
Organization

Contact information

Practice address
700 SW PENN AVE, BARTLESVILLE, OK 74003-3847
(918) 273-1841
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 273-1841

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
10/31/2014
Last updated
07/31/2020
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