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Organization
OMEGA GROUP LLC
Active
Organization
OMEGA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORIE D JOHNSON (PARTNER / FOUNDER)
(443) 822-4357
Entity
Organization
Contact information
Practice address
301 S MCDOWELL ST STE 125, CHARLOTTE, NC 28204-0031
(443) 822-4357
Mailing address
301 S MCDOWELL ST STE 125, CHARLOTTE, NC 28204-0031
(443) 822-4357
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
—
NULL
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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