| Grand Lake Mental Health Center, Inc. | |
|
502 N 14th St Perry OK 73077-5022 | |
| (918) 305-5512 | |
| (580) 215-5767 |
| Full Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 502 N 14th St, Perry, Oklahoma |
| Authorized Official Name and Position | Larry Smith (CEO) |
| Authorized Official Contact | 9182731841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Lake Mental Health Center, Inc. 114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 273-1841 | Grand Lake Mental Health Center, Inc. 502 N 14th St Perry OK 73077-5022 Ph: (918) 305-5512 |
| NPI Number | 1336707256 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336707256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Grand Lake Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 N 14th St, Perry, OK 73077 Phone: 918-308-5512 Fax: 580-215-5767 | |
Seeking Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13650 John Wayne, Perry, OK 73077 Phone: 580-370-6455 |