Organization
THE BAIR FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE RICKARD (ACCOUNTS RECEIVABLE SUPERVISOR)
(724) 946-8711
Entity
Organization
Contact information
Practice address
6705 E 81ST ST STE 120, TULSA, OK 74133-4158
(918) 727-2555
(918) 218-9662
Mailing address
241 HIGH ST, NEW WILMINGTON, PA 16142-1116
(724) 946-8711
(724) 946-3249
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100709660A
—
OK
05
—
100709660B
—
OK
05
—
100709660C
—
OK
05
—
100709660G
—
OK
Enumeration date
10/09/2006
Last updated
03/15/2022
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