CTC Fairfield Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CTC FAIRFIELD INC

Practice address

101 South Cross St.
West Union, OH 45693-1208

Phone

(740) 351-9298

Fax

(740) 529-0553

NPI assigned

Dec 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Albert Shklyar

Title

Administrator

Phone

(516) 343-2772

Specialties & licenses 1

Addresses

Tax ID family

CTC Fairfield Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CTC Fairfield Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Union, OH
  • NPI 1407664949
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1053129593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LINWOOD PLZ STE 303",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243701",
            "telephone_number": "516-343-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH CROSS ST.",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931208",
            "telephone_number": "740-351-9298",
            "fax_number": "740-529-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTC FAIRFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "SHKLYAR",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-343-2772"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Dawn Copas, LPCC
• Ruth Ann Copas
• Howard L. Covert, O.D.
• Alyssa S. Crabtree
• Tara Crabtree, ED.S., NCSP
• CTC Fairfield Inc
• Chandra Culver, LPC, LICDC
• Tiana Cummings
• Shirley Ann Demint
• William A Denton, LSW

• Substance Use Disorder Rehabilitation Clinic/Center in West Union, OH
• Providers in West Union, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.