Omnis Health Life, Llc - Methadone Clinic in Baltimore, Maryland | ProviderWire

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Methadone Clinic
Maryland
Baltimore
Omnis Health Life, Llc

Legal Business Name

Omnis Health Life, Llc

NPI Number

1154861557

NPI Type

Organization

Enumeration Date

03/03/2017

Specialties

(Taxonomies)

Name

Methadone Clinic

Addiction (Substance Use Disorder) Counselor

Code

261QM2800X

101YA0400X

104100000X

Primary Taxonomy

Yes

No

No

Contact
Information

Purpose

Mailing

Location

Address

162 PONTE VEDRA DR

2200 GARRISON BLVD

City

Fayetteville

Baltimore

State

GA

MD

Postal Code

30215-8040

21216-2619

Country

US

US

Telephone Number

(678) 561-2823

(667) 212-4187

Authorized Official

Name

Mr. Rachel Wilson

Title or Position

CHAIRWOMAN

Telephone Number

(678) 561-3037

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/15/2018

Provider Address

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