Organization
OMNI BEHAVIORAL SERVICES
Active
Other names
Omni Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A JACKSON (SENIOR ADMINISTRATOR)
(910) 247-6822
Entity
Organization
Contact information
Practice address
209 MARTIN LUTHER KING JR. DR., ELIZABETHTOWN, NC 28337-2833
(910) 247-6822
(910) 247-6829
Mailing address
209 MARTIN LUTHER KING JR. DR., ELIZABETHTOWN, NC 28352
(910) 247-6822
(910) 247-6829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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