Omni House,inc
NPI #1205013711 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1205013711
- Entity Type
- Organization
- Organization Name
- Omni House,inc
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jan 28, 2008
- Last Updated
- Jan 28, 2008
Practice Location
- Address
- 1419 MADISON PARK DR
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-5613
- Phone
- (410) 768-2719
Authorized Official
- Name
- HELEN DUNN
- Title
- CEO
- Phone
- (410) 768-6777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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