Organization
ANEW BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KC MONTOYA DSW, LISW-S (CCO)
(740) 504-6846
Entity
Organization
Contact information
Practice address
4445 COMANCHEE TRL, JAMESTOWN, OH 45335-1455
(740) 326-6110
Mailing address
815 N GAY ST, MOUNT VERNON, OH 43050-1751
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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