Organization
OMNI HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN MONTGOMERY (CREDENTIALING SPECIALIST)
(215) 997-2000
Entity
Organization
Contact information
Practice address
6930 MARKET ST FL 2, UPPER DARBY, PA 19082-2308
(484) 466-4844
Mailing address
6930 MARKET ST FL 2, UPPER DARBY, PA 19082-2308
(484) 466-4844
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
4202
PA
Other
Enumeration date
07/10/2012
Last updated
11/20/2025
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