Organization
CPF OMEGA RECOVERY LLC
Active
Other names
Omega Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SMELTZER (EXECUTIVE DIRECTOR)
(512) 844-2234
Entity
Organization
Contact information
Practice address
1710 EVERGREEN AVE STE C, AUSTIN, TX 78704-2955
(512) 387-1126
Mailing address
1710 EVERGREEN AVE STE C, AUSTIN, TX 78704-2955
(512) 387-1126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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