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
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
(918) 342-0087
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
01/08/2025
Last updated
01/08/2025
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