Organization
GRAND LAKE MENTAL HEALTH CENTER, INC.
Active
Other names
Grand Lake Mental Health Center, Inc.-Ottawa County
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COX (MIS/REIMBURSEMENT COORDINATOR)
(918) 273-1841
Entity
Organization
Contact information
Practice address
120 S TREATY RD, MIAMI, OK 74354-5326
(918) 540-1511
(918) 542-7374
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 540-1511
(918) 542-7374
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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