# ACCESS BEHAVIORAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Access Health Network
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871102301
- **Authorized official:** SRINIVAS PONNERI (MANAGER)
- **Authorized official phone:** (614) 373-4202

## Contact information

- **Practice address:** 528 W MARION RD STE C, MOUNT GILEAD, OH 43338-1085
- **Practice address phone:** (419) 947-4560
- **Practice address fax:** (419) 947-2956
- **Mailing address:** 528 W MARION RD STE C, MOUNT GILEAD, OH 43338-1085
- **Mailing address phone:** (419) 947-4560
- **Mailing address fax:** (419) 947-2956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2020
- **Last updated:** 07/30/2020