NPI 1831218296

Edwin Fair Community Mental Health Center

Organisation Case Management Agency Ponca City, OK

Practice location

Address: 201 E Chestnut Ave, Ponca City, OK 74601-4311
Phone: (580) 763-0931
Mailing address: 3542 Springwood St APT 604, Ponca City, OK 74604-1632

Authorised official

Name: Geoff Cowan
Title: Executive Director
Phone: (580) 761-5608

Registered specialties (2)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Oklahoma →

Case Management Agency

Agencies Taxonomy 251B00000X Licence 171M00000X (OK)

Registry record

NPI: 1831218296
Entity type: Organization
NPI issued: 28 Mar 2007
Record last updated: 22 Aug 2020

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.