Organization
GRAND LAKE MENTAL HEALTH CENTER, INC.
Active
Other names
Grand Lake Mental Health Center, Inc.-Craig County
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COX (MIS/REIMBURSEMENT COORDINATOR)
(918) 273-1841
Entity
Organization
Contact information
Practice address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(918) 256-6476
(918) 256-3628
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 256-6476
(918) 256-3628
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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