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Organization

GRAND LAKE MENTAL HEALTH CENTER, INC.

Active
Other names
Grand Lake Mental Health Center, Inc.-Delaware County
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA COX (MIS/REIMBURSEMENT COORDINATOR)
(918) 273-1841
Entity
Organization

Contact information

Practice address
1115 HARBOR RD., GROVE, OK 73444
(918) 786-4434
(918) 786-4435
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 786-4434
(918) 786-4435

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
08/03/2006
Last updated
08/22/2020
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