Organization
OMNI SOLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMIEN B PENA (CEO)
(443) 890-3383
Entity
Organization
Contact information
Practice address
2510 WHITT RD, KINGSVILLE, MD 21087-1042
(443) 890-3383
Mailing address
2510 WHITT RD, KINGSVILLE, MD 21087-1042
(443) 890-3383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/22/2025
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