NPI | 1134539141 |
---|---|
Doing Business As | GRAND LAKE MEDICAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LARRY SMITH CEO 918-273-1841 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2021-03-30 |