Organization
OMNI HOUSE,INC
Active
Organization
OMNI HOUSE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN DUNN (CEO)
(410) 768-6777
Entity
Organization
Contact information
Practice address
1419 MADISON PARK DR, GLEN BURNIE, MD 21061-5613
(410) 768-2719
Mailing address
1419 MADISON PARK DR, GLEN BURNIE, MD 21061-5613
(410) 768-2719
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
261QMO85OX
MD
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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