OrganizationActive
Grand Lake Mental Health Center, Inc.
NPI 1255979415 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jay, OK
Provider details
- NPI number
- 1255979415
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Smith, Ceo(918) 273-1841
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1015 W Washbourne St
Jay, OK 74346-4205
Phone: (918) 308-5513
Fax: (918) 253-6645
Approximate (ZIP-level) locationGet directions
Mailing address
114 W Delaware Ave
Nowata, OK 74048-2601
Other names (DBA / former)
- Doing business as
- Grand Mental Health
Registry dates
- Enumerated
- 2019-12-18
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.