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Organization
GRAND LAKE MENTAL HEALTH CENTER INC.
Active
Organization
GRAND LAKE MENTAL HEALTH CENTER INC.
Active
Other names
GRAND Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SMITH (CEO)
(918) 273-1841
Entity
Organization
Contact information
Practice address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 825-1405
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
04/21/2023
Last updated
04/21/2023
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