| Access Behavioral Llc | |
|
15047 State Route 309 Kenton OH 43326-9701 | |
| (419) 673-0595 | |
| Not Available |
| Full Name | Access Behavioral Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 15047 State Route 309, Kenton, Ohio |
| Authorized Official Name and Position | Srinivas Ponneri (MANAGER) |
| Authorized Official Contact | 6143734202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Behavioral Llc 15047 State Route 309 Kenton OH 43326-9701 Ph: (419) 673-0595 | Access Behavioral Llc 15047 State Route 309 Kenton OH 43326-9701 Ph: (419) 673-0595 |
| NPI Number | 1194333286 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 07/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194333286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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