Organization
JG MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GRANT (OWNER)
(405) 414-2826
Entity
Organization
Contact information
Practice address
4334 NW EXPRESSWAY STE 108, OKLAHOMA CITY, OK 73116-1515
(405) 414-2826
Mailing address
7508 NW 103RD ST, OKLAHOMA CITY, OK 73162-4408
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/21/2024
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