Organization · Type 2 NPI

Susan Wagner LLC

Community/Behavioral Health Agency · Irmo, SC

NPI number 1750133641 Active

Practice location

114 Glen Ridge Ct
Irmo, SC 29063-8494

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 1750133641

Susan Wagner LLC's National Provider Identifier is 1750133641, issued on Apr 3, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Irmo, SC. The record was last updated on Apr 3, 2024.