Grand Lake Mental Health Center, Inc. in Nowata - Mental Health (including Community Mental Health Center)
Grand Lake Mental Health Center, Inc. - NPI 1073520102
Grand Lake Mental Health Center, Inc. is a Mental Health (including Community Mental Health Center) in Nowata, Oklahoma. Grand Lake Mental Health Center, Inc. practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Grand Lake Mental Health Center, Inc. is 1073520102. The last update date is 2022-06-07.
Grand Lake Mental Health Center, Inc.'s current location address is 114 W Delaware Ave, Nowata, Oklahoma. You can contact this provider via phone number 9183429530 and fax number 9183429533. The mailing address for Grand Lake Mental Health Center, Inc. is 114 W Delaware Ave, Nowata, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Lake Mental Health Center, Inc. |
|---|---|
| Address | 114 W Delaware Ave, Nowata, Oklahoma |
| Phone Number | 9183429530 |
| Fax Number | 9183429533 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Smith Larry |
| Telephone Number | 9182731841 |
NPI Number Detail
| NPI Number | 1073520102 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2022-06-07 |
Provider Mailing Address Detail
| Address | 114 W Delaware Ave |
|---|---|
| City | Nowata |
| State | Oklahoma (OK) |
| Post Code | 740482601 |
| Phone Number | 9183429530 |
| Fax Number | 9183429533 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100732860J | OK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Grand Lake Mental Health Center, Inc.?
The Grand Lake Mental Health Center, Inc. has been issued the NPI (National Provider Identifier) 1073520102 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Grand Lake Mental Health Center, Inc. is located?
The Grand Lake Mental Health Center, Inc. is situated at the following address: 114 W Delaware Ave, Nowata, OK, 740482601.
What is Grand Lake Mental Health Center, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Grand Lake Mental Health Center, Inc. is Mental Health (including Community Mental Health Center), and the corresponding taxonomy classification code for this specialized field is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073520102 to Grand Lake Mental Health Center, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1073520102 to Grand Lake Mental Health Center, Inc. on 2006-08-02.
As of what date were the details related to Grand Lake Mental Health Center, Inc. most recently updated or revised?
The information pertaining to Grand Lake Mental Health Center, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2022-06-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY