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Organization
OCMC, INC
Active
Organization
OCMC, INC
Active
Other names
OptimaCare Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
REEMA OWENS (AGENT)
(704) 763-6300
Entity
Organization
Contact information
Practice address
827 HEATHER RD, BURLINGTON, NC 27215-6288
(704) 763-6300
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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