FAIRWAY BEHAVIORAL HEALTH, LLC is a psychiatric/mental health nurse practitioner in Wilmington, OH. FAIRWAY BEHAVIORAL HEALTH, LLC NPI is 1780328344. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
140 FAIRWAY DR
WILMINGTON, OH
ZIP 45177-008
Phone: (937) 992-1057
The provider's authorized official is Polly Vaughan .
The authorized official title is Ceo and has the following contact phone number (937) 838-9550.
The CLIA number assigned to this NPI record is 36D2279116 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/20/2022 and was last updated on 4/20/2022.