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Organization

COUNTY OF WAYNE

Active
Parent organization
WAYNE COUNTY
Other names
Wayne County MHMR
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAYNE COUNTY
Authorized official
MARGARET ENNIS (MHMR ADMINISTRATOR)
(570) 253-9200
Entity
Organization

Contact information

Practice address
648 PARK ST, SUITE A, HONESDALE, PA 18431-1446
(570) 253-9200
Mailing address
648 PARK ST, SUITE A, HONESDALE, PA 18431-1446
(570) 253-9200

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251K00000X
Public Health or Welfare Agency
225140
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017310820014
PA
05
10017310820003
PA
Enumeration date
02/01/2007
Last updated
11/18/2015
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