Organization
WAYNE COUNTY OFFICE OF MH/MR
Active
Parent organization
COUNTY OF WAYNE
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF WAYNE
Authorized official
MRS. MARGARET M. ENNIS J.D. (ADMINISTRATOR, MENTAL HEALTH/MENTAL)
(570) 253-9200
Entity
Organization
Contact information
Practice address
1100 CHURCH STREET, HONESDALE, PA 18431-1943
(570) 253-9200
(570) 647-0268
Mailing address
648 PARK STREET, HONESDALE, PA 18431-1446
(570) 253-9200
(570) 647-0268
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001731082
—
PA
Enumeration date
08/27/2009
Last updated
09/07/2023
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