GRAND LAKE MENTAL HEALTH CENTER INC
NPI 1689206922
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jay, OK

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

Active since February 05, 2020

1015 W WASHBOURNE ST, JAY, OK 74346(918) 381-9090(918) 273-1843 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Authorized Official
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Organization
Clinic/Center
Mental Health (Including Community Menta...

About GRAND LAKE MENTAL HEALTH CENTER INC

This page provides the complete NPI Profile along with additional information for Grand Lake Mental Health Center Inc, a provider established in Jay, Oklahoma operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1689206922 assigned on February 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Charles Danley (Ceo)

NPI: 1689206922 Verify this NPI
Provider Name: GRAND LAKE MENTAL HEALTH CENTER INC
Entity Type: Organization
Location Address: 1015 W WASHBOURNE ST JAY, OK 74346
Location Phone: (918) 381-9090
Location Fax: (918) 273-1843
Mailing Address: 114 W DELAWARE AVE NOWATA, OK 74048
Mailing Phone: (918) 273-1841
Mailing Fax: (918) 273-1843
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-05-2020
Last Update Date: 02-05-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: CHARLES DANLEY
Authorized Official Title: CEO
Authorized Official Phone: (918) 273-1841