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
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017310820005
—
PA
Enumeration date
02/02/2007
Last updated
09/22/2015
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