GRAND LAKE MENTAL HEALTH CENTER INC

PONCA CITY, OK
NPI1043842370
Doing Business AsGRAND MENTAL HEALTH
Entity TypeOrganization
Authorized ContactLARRY SMITH
CEO
918-273-1841
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2020-02-05
Last Update Date2022-06-13
Business Address
GRAND LAKE MENTAL HEALTH CENTER INC
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 580-308-5515
Mailing Address
GRAND LAKE MENTAL HEALTH CENTER INC
114 W DELAWARE AVE
NOWATA, OK 74048-2601
Phone number: 918-273-1841
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