Organization
WAYNE HALFWAY HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON SCOTT CREWS (EXECUTIVE DIRECTOR)
(931) 722-2435
Entity
Organization
Contact information
Practice address
942 ANDREW JACKSON DR, WAYNESBORO, TN 38485-2360
(931) 722-3272
(931) 722-7428
Mailing address
942 ANDREW JACKSON DR, WAYNESBORO, TN 38485-2360
(931) 722-3272
(931) 722-7428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
SO/10648A
TN
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q019954
—
TN
Enumeration date
06/11/2011
Last updated
10/19/2020
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