GRAND LAKE MENTAL HEALTH CENTER INC

PONCA CITY, OK
NPI1356981138
Doing Business AsGRAND MENTAL HEALTH
Entity TypeOrganization
Authorized ContactLARRY SMITH
CEO
918-273-1841
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2020-01-09
Last Update Date2022-06-07
Business Address
GRAND LAKE MENTAL HEALTH CENTER INC
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 580-749-5056
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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