GRAND LAKE MENTAL HEALTH CENTER, INC.

PAWHUSKA, OK
NPI1477134211
Doing Business AsGRAND LAKE MEDICAL HEALTH CENTER
Entity TypeOrganization
Authorized ContactLARRY SMITH
CEO
918-273-1841
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2021-04-14
Last Update Date2021-04-14
Business Address
GRAND LAKE MENTAL HEALTH CENTER, INC.
124 E 6TH ST
PAWHUSKA, OK 74056-4204
Phone number: 918-604-6054
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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