OMNIS HEALTH LIFE LLC NPI 1154861557

NPI Information

OMNIS HEALTH LIFE, LLC is a methadone clinic center in Baltimore, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. OMNIS HEALTH LIFE, LLC NPI is 1154861557. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2200 GARRISON BLVD
BALTIMORE, MD
ZIP 21216-619
Phone: (667) 212-4187

The provider's authorized official is Rachel Wilson .
The authorized official title is Chairwoman and has the following contact phone number (678) 561-3037.

The CLIA number assigned to this NPI record is 21D2135340 - other - iop, ment hlth group with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2017 and was last updated on 11/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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