GRAND LAKE MENTAL HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Ponca City, OK. GRAND LAKE MENTAL HEALTH CENTER, INC. NPI is 1306394788. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Lake Medical Health Center.
The provider's business location address is:
110 N 4TH ST
PONCA CITY, OK
ZIP 74601-527
Phone: (918) 273-1841
Fax: (918) 273-1843
The provider's authorized official is Larry Smith .
The authorized official title is Ceo and has the following contact phone number (918) 273-1841.
The enumeration date for this NPI number is 9/14/2016 and was last updated on 7/31/2020.