Edwin Fair Community Mental Health Center Inc.
NPI #1134291578 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1134291578
- 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 16, 2008
Practice Location
- Address
- 1500 N 6TH ST
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74601-2827
- Phone
- (580) 762-7561
Authorized Official
- Name
- MR. GEOFFREY HOMER COWAN, LPC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (580) 762-7561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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