12 & 12, Inc
LBN: Grand Lake Mental Health Center, Inc.
12 & 12, Inc is an health care organization with primary practice located at 6333 E Skelly Dr , Tulsa OK 74135-6106. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Agencies / Community/Behavioral Health is the primary health care specialty.
Grand Lake Mental Health Center, Inc. can be contacted via phone (918) 664-4224, or through Smith, Larry via phone (918) 273-1841.
Contact Information
Primary practice address
6333 E Skelly Dr
Tulsa OK 74135-6106
Phone: (918) 664-4224
Fax: (918) 663-0203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 640AD | Oklahoma |
Profile Details
| NPI number | 1053317883 |
|---|---|
| LBN Legal business name | Grand Lake Mental Health Center, Inc. |
| DBA Doing business as | 12 & 12, Inc |
| Authorized official | Smith, Larry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jun 7th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053317883 | NPPES |
| Oklahoma | MEDICAID | 100737580A |
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