Organization Name: | COUNTY OF WAYNE |
NPI Number: | 1003824855 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES M HAITZ (DIRECTOR OF COMMUNITY SERVICES) |
Mailing Address: | 1519 Nye Road Lyons |
State: | NY US |
Postal Code: | 14489 |
Phone Number: | 3159465722 |
Fax Number: | 3159467079 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 090511102 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |