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Organization
MOON FAMILY & BEHAVIORAL HEALTH LLC
Active
Organization
MOON FAMILY & BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DEAN (ADMIN)
(614) 706-5206
Entity
Organization
Contact information
Practice address
161 CLINT DR STE 200, PICKERINGTON, OH 43147-7794
(614) 705-6161
(614) 705-6151
Mailing address
161 CLINT DR STE 200, PICKERINGTON, OH 43147-7794
(614) 705-6161
(614) 705-6151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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