Organization
ACCESS BEHAVIORAL LLC
Active
Other names
Access Health Network
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS PONNERI (MANAGER)
(614) 373-4202
Entity
Organization
Contact information
Practice address
4725 PARKWICK DR STE 100, COLUMBUS, OH 43228-6401
(614) 655-3354
(614) 317-4692
Mailing address
4725 PARKWICK DR STE 100, COLUMBUS, OH 43228-6401
(614) 655-3354
(614) 317-4692
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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