Organization
OMEGA ALPHA NU MINISTRIES
Active
Parent organization
OMEGA ALPHA NU MINISTRIES
Other names
OAN Mental Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMEGA ALPHA NU MINISTRIES
Authorized official
MRS. LYNDA A GONSALVES-BARNES PHD (PRESIDENT)
(321) 236-2006
Entity
Organization
Contact information
Practice address
101 W CYPRESS ST, SUITE E, F & K, KISSIMMEE, FL 34741-3319
(321) 236-2006
(321) 250-7822
Mailing address
PO BOX 451236, KISSIMMEE, FL 34745-1236
(321) 236-2006
(321) 250-7822
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004861300
—
FL
Enumeration date
05/04/2012
Last updated
09/18/2014
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