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
700 S PENN AVE, BARTLESVILLE, OK 74003-3847
(918) 337-8080
(918) 337-8099
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 273-1841
(918) 273-1843
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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