# WAYNE HALFWAY HOUSE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174818702
- **Authorized official:** MR. JASON SCOTT CREWS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (931) 722-2435

## Contact information

- **Practice address:** 942 ANDREW JACKSON DR, WAYNESBORO, TN 38485-2360
- **Practice address phone:** (931) 722-3272
- **Practice address fax:** (931) 722-7428
- **Mailing address:** 942 ANDREW JACKSON DR, WAYNESBORO, TN 38485-2360
- **Mailing address phone:** (931) 722-3272
- **Mailing address fax:** (931) 722-7428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | SO/10648A | TN | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2011
- **Last updated:** 10/19/2020