| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1457922528 | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 | |||
| 1831770676 | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |