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Edwin Fair Cmhc
Community/Behavioral Health Agency in Ponca City, Oklahoma
NPI 1972764736

Edwin Fair Cmhc is a Community/Behavioral Health Agency based in Ponca City, OK. Edwin Fair Cmhc practices in Ponca City, OK. The NPI Number for Edwin Fair Cmhc is 1972764736 and holds a License No. (Oklahoma).

The current practice location address for Edwin Fair Cmhc is 201 E Chestnut Ave, Ponca City, OK and can be reached out via phone at 580-762-7561 and via fax at 580-762-2576.

Location: 201 E Chestnut Ave, Ponca City, OK, 74601-2827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972764736
Provider Name
Edwin Fair Cmhc
Credential
Provider Entity Type
Organization
Address
201 E Chestnut Ave, Ponca City, OK, 74601-2827
Phone Number
580-762-7561
Fax Number
580-762-2576
Provider Enumeration Date
06/24/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100749540E 05 OK
100749540T 05 OK
100749540X 05 OK
institution
Provider Business Practice Location Address Details
Address
201 E Chestnut Ave
City
Ponca City
State
Oklahoma
Zip
74601-4311
Phone Number
580-762-7561
Fax Number
580-762-2576
person
Provider Business Mailing Address Details
Address
201 E Chestnut Ave
City
Ponca City
State
Oklahoma
Zip
74601-4311
Phone Number
580-762-7561
Fax Number
580-762-2576
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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