GRAND LAKE MENTAL HEALTH CENTER, INC.

PRYOR, OK
NPI1063817021
Doing Business AsGRAND LAKE MEDICAL HEALTH CENTER
Entity TypeOrganization
Authorized ContactLARRY SMITH
CEO
918-273-1841
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2014-11-03
Last Update Date2020-07-31
Business Address
GRAND LAKE MENTAL HEALTH CENTER, INC.
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-825-1405
Mailing Address
GRAND LAKE MENTAL HEALTH CENTER, INC.
114 W DELAWARE AVE
NOWATA, OK 74048-2601
Phone number:
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