| Grand Lake Mental Health Center Inc | |
|
201 S Hominy Ave Ste 201 Skiatook OK 74070-3975 | |
| (918) 273-1841 | |
| (918) 273-1843 |
| Full Name | Grand Lake Mental Health Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 201 S Hominy Ave Ste 201, Skiatook, Oklahoma |
| Authorized Official Name and Position | Joshua Cantwell (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 201 S Hominy Ave Ste 201 Skiatook OK 74070-3975 Ph: (918) 273-1841 |
| NPI Number | 1659176238 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659176238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Feels On Wheels, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1253 W 166th St N, Skiatook, OK 74070 Phone: 918-322-1187 |