Wagner Behavioral Health Services, Llc

NPI 1548567175 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1548567175
Enumeration Date 02/17/2011
Last Updated 02/17/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MOLLY MARIE MOLLY
Position OWNER
Phone (814) 827-2218
Fax (814) 827-2218
Practice Location
115 S WASHINGTON ST STE 202
TITUSVILLE PA, 16354-1767, US
Phone (814) 827-2218
Fax (814) 827-2218
Business Location
115 S WASHINGTON ST STE 202
P.O.BOX 35
TITUSVILLE PA, 16354-1767, US
Phone (814) 827-2218
Fax (814) 827-2218
Toxanomy
Taxonomy Code 251S00000X
License State Pennsylvania
License Number CW015648
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According to our database, Wagner Behavioral Health Services, Llc NPI is 1548567175, taxonomy code is 251S00000X and license number is CW015648, license state is located at Pennsylvania. Wagner Behavioral Health Services, Llc physically located at 115 S Washington St Ste 202, Titusville PA, 16354-1767. NPI Number 1033115704 has the healthcare provider type.

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1548567175 NPI number is provided on an as is basis without warranty of any kind. 1548567175 is maintained by the National Plan & Provider Enumeration System. The contents of Wagner Behavioral Health Services, Llc are for informational purposes only.