Organization
OMNI ENRICHMENT, INCORPORATION
Active
Parent organization
OMNI ENRICHMENT, INCORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNI ENRICHMENT, INCORPORATION
Authorized official
MRS. BARBARA ANN TRIPP M.S., CSAC,LPC-IT (EXECUTIVE DIRECTOR/THERAPIST)
(414) 312-8910
Entity
Organization
Contact information
Practice address
3020 W VLIET ST, MILWAUKEE, WI 53208-2461
(414) 312-8910
Mailing address
3020 W VLIET ST, 3897 N. 40TH STREET, MILWAUKEE, WI 53208-2461
(414) 312-8910
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42230300
—
WI
Enumeration date
10/29/2008
Last updated
02/13/2015
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