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Organization
OMNI THERAPY CENTER
Active
Organization
OMNI THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL GARCIA SR. LPC (CEO/LEAD COUNSELOR)
(830) 734-7732
Entity
Organization
Contact information
Practice address
2116 VETERANS BLVD, SUITE 3, DEL RIO, TX 78840-3042
(830) 734-7732
Mailing address
2116 VETERANS BLVD, SUITE 3, DEL RIO, TX 78840-3042
(830) 734-7732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
66628
TX
101YP2500X
Professional Counselor
Primary
66628
TX
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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