COUNTY OF WAYNE NPI 1003824855

NPI Information

NPI: 1003824855
Provider Name: COUNTY OF WAYNE

Other Name: WAYNE BEHAVIORAL HEALTH NETWORK

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1519 NYE ROAD
LYONS, NY
ZIP 14489
Phone: (315) 946-5722
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COUNTY OF WAYNE is a mental health (including community mental health center) clinic center in Lyons, NY. COUNTY OF WAYNE NPI is 1003824855. The provider is registered as an organization entity type.
The provider Other Name Is Wayne Behavioral Health Network.

The provider's business location address is:

1519 NYE ROAD
LYONS, NY
ZIP 14489
Phone: (315) 946-5722
Fax: (315) 946-7079

The provider's authorized official is James M Haitz .
The authorized official title is Director Of Community Services and has the following contact phone number (315) 946-5722.

The CLIA number assigned to this NPI record is 33D2152387 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 3/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	090511102	NEW YORK	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	6898100A	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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