Omni House,inc
Community Based Residential Treatment Facility, Mental Illness in Glen Burnie, MD. Organization (NPI-2).
NPI number1205013711
StatusActive
Last updated in NPPESJan 28, 2008
Details
- NPI
- 1205013711
- Entity type
- Organization (NPI-2)
- Legal business name
- Omni House,inc
- Organization subpart
- No
- Enumeration date
- Jan 28, 2008
- Last updated
- Jan 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 261qmo85ox | MD | Yes |
Practice location
1419 Madison Park DrGlen Burnie, MD 21061-5613
Phone 410-768-2719
Mailing address
1419 Madison Park DrGlen Burnie, MD 21061-5613
Phone 410-768-2719
Authorized official
Helen Dunn
Ceo
4107686777
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