Edwin Fair Community Mental Health Center, Inc.
NPI #1043382484 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1043382484
- Entity Type
- Organization
- Organization Name
- Edwin Fair Community Mental Health Center, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Jun 28, 2011
Practice Location
- Address
- 1500 N 5TH ST
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74601-2758
- Phone
- (580) 762-7561
Authorized Official
- Name
- MRS. MISTY D DANIELS, MA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (580) 762-7561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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