Organization
GRAND LAKE MENTAL HEALTH CENTER INC
Active
Other names
Grand Lake Medical Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DANLEY (CEO)
(918) 273-1841
Entity
Organization
Contact information
Practice address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(918) 381-9090
(918) 273-1843
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 273-1841
(918) 273-1843
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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