Wayne County Office Of Mh/mr | |
1100 Church Street Honesdale PA 18431-1943 | |
(570) 253-9200 | |
(570) 647-0268 |
Full Name | Wayne County Office Of Mh/mr |
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Speciality | Community/behavioral Health |
Location | 1100 Church Street, Honesdale, Pennsylvania |
Authorized Official Name and Position | Margaret M. Ennis (ADMINISTRATOR, MENTAL HEALTH/MENTAL) |
Authorized Official Contact | 5702539200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wayne County Office Of Mh/mr 648 Park Street Honesdale PA 18431-1446 Ph: (570) 253-9200 | Wayne County Office Of Mh/mr 1100 Church Street Honesdale PA 18431-1943 Ph: (570) 253-9200 |
NPI Number | 1013140870 |
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Provider Enumeration Date | 08/27/2009 |
Last Update Date | 09/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013140870 | NPI | - | NPPES |
001731082 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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