Omni House INC
NPI #1104983568 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1104983568
- Entity Type
- Organization
- Organization Name
- Omni House INC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1419 MADISON PARK DR
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-5613
- Phone
- (410) 768-2719
Authorized Official
- Name
- MR. JOHN CUDDY, MBA, FHFMA
- Title
- CFO
- Phone
- (410) 768-6777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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