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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 1306394788 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · PONCA CITY, OK

Registration Details

NPI Number
1306394788
Provider Type
Organization
NPI Issued
Sep 14, 2016 (9.9593750944861 yrs)
Last Updated
Jul 31, 2020

Practice Information

Address
110 N 4TH ST
PONCA CITY, OK, 746014527
Browse OK providers · Browse ZIP 74601
Phone
9182731841
Fax
9182731843
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.