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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRAND LAKE MENTAL HEALTH CENTER INC

Active Organization

GRAND LAKE MENTAL HEALTH CENTER INC is a Mental Health Clinic organization located in PONCA CITY, Oklahoma. NPI 1043842370 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · PONCA CITY, OK

Registration Details

NPI Number
1043842370
Provider Type
Organization
NPI Issued
Feb 5, 2020 (6.5648346361973 yrs)
Last Updated
Jun 13, 2022

Practice Information

Address
407 W SOUTH AVE
PONCA CITY, OK, 746016133
Browse OK providers · Browse ZIP 74601
Phone
5803085515
Fax
5807495792
Primary Specialty
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.