County of Wayne

NPI #1003824855 in Lyons, New York

Provider Information

NPI Number: 1003824855
Entity Type: Organization
Organization Name: County of Wayne
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 4, 2006
Last Updated: Mar 26, 2013

Practice Location

Address: 1519 NYE ROAD
City: Lyons
State: New York
ZIP Code: 14489
Phone: (315) 946-5722

Authorized Official

Name: MR. JAMES M HAITZ, LCSW-R
Title: DIRECTOR OF COMMUNITY SERVICES
Phone: (315) 946-5722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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