Individual provider · Type 1 NPI

Reagan Johnson

Community/Behavioral Health Agency · Charleston, WV

NPI number 1285419911 Active

Practice location

119 Country Ln
Charleston, WV 25312-6003

Mailing address

PO Box 128
Poca, WV 25159-0128

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1285419911

Reagan Johnson's National Provider Identifier is 1285419911, issued on Aug 30, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Charleston, WV. The record was last updated on Aug 30, 2023.