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 |
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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 |
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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 |
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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 |