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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
JOSHUA CANTWELL (CEO)
(918) 273-1841
Entity
Organization
Contact information
Practice address
998 E KNOTTS AVE, STILLWATER, OK 74075-3023
(405) 372-2202
(405) 372-2237
Mailing address
114 W DELAWARE, NOWATA, OK 74048-2601
(918) 273-1841
(918) 273-1843
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
07/11/2025
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