Organization
GRAND LAKE MENTAL HEALTH CENTER, INC.
Active
Other names
Grand Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SMITH (CEO)
(918) 273-1841
Entity
Organization
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(918) 664-4224
(918) 663-0203
Mailing address
6128 E 38TH ST, TULSA, OK 74135-5832
(918) 664-4224
(918) 663-0203
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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