| Access Behavioral Llc | |
|
194 Elm St London OH 43140-1161 | |
| (740) 845-5500 | |
| (740) 845-5502 |
| Full Name | Access Behavioral Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 194 Elm St, London, 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 194 Elm St London OH 43140-1161 Ph: (740) 845-5500 | Access Behavioral Llc 194 Elm St London OH 43140-1161 Ph: (740) 845-5500 |
| NPI Number | 1457960999 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457960999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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