Access Behavioral LLC
NPI #1871102301 in Mount Gilead, Ohio
Provider Information
- NPI Number
- 1871102301
- Entity Type
- Organization
- Organization Name
- Access Behavioral LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 30, 2020
- Last Updated
- Jul 30, 2020
Practice Location
- Address
- 528 W MARION RD STE C
- City
- Mount Gilead
- State
- Ohio
- ZIP Code
- 43338-1085
- Phone
- (419) 947-4560
Authorized Official
- Name
- SRINIVAS PONNERI
- Title
- MANAGER
- Phone
- (614) 373-4202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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