Organization · Type 2 NPI

Edwin Fair CMHC

Community/Behavioral Health Agency · Ponca City, OK

NPI number 1972764736 Active

Practice location

201 E Chestnut Ave
Ponca City, OK 74601-4311

Call (580) 762-7561 Map

Fax (580) 762-2576

Mailing address

1500 N 6th St
Ponca City, OK 74601-2827

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

18 other providers at this address

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About NPI 1972764736

Edwin Fair CMHC's National Provider Identifier is 1972764736, issued on Jun 24, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Ponca City, OK. The record was last updated on Oct 8, 2012.