NPI 1043471816

Edwin Fair Cmhc

Organisation Case Management Agency Ponca City, OK

Practice location

Address: 1500 N 6th St, Ponca City, OK 74601-2827
Phone: (580) 762-7561
Fax: (580) 762-2576

Authorised official

Name: Geoffrey Homer Cowan
Title: Executive Director
Phone: (580) 762-7561

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Oklahoma →

Registry record

NPI: 1043471816
Entity type: Organization
NPI issued: 24 Jun 2008
Record last updated: 24 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.