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Organization

OMNI HOUSE INC

Active
Other names
Omni House Behavioral Health System
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN CUDDY MBA, FHFMA (CFO)
(410) 768-6777
Entity
Organization

Contact information

Practice address
1419 MADISON PARK DR, GLEN BURNIE, MD 21061-5613
(410) 768-2719
Mailing address
PO BOX 1270, 1419 MADISON PARK DR, GLEN BURNIE, MD 21060-1270
(410) 768-2719

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4233
MD

Other

Enumeration date
01/03/2007
Last updated
08/22/2020
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