Organization
OMNI HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CUDDY MBA, FHFMA (CFO)
(410) 768-6777
Entity
Organization
Contact information
Practice address
1421 MADISON PARK DR, GLEN BURNIE, MD 21061-5613
(410) 768-6777
Mailing address
PO BOX 1270, 1421 MADISON PARK DR, GLEN BURNIE, MD 21060-1270
(410) 768-6777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
17445
MD
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
17446
MD
Other
Enumeration date
01/03/2007
Last updated
09/11/2025
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