Organization
OMNIA RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN JOHNSONAVANESZADEH (CEO)
(213) 509-5190
Entity
Organization
Contact information
Practice address
1459 E THOUSAND OAKS BLVD STE D, THOUSAND OAKS, CA 91362-6221
(213) 509-5190
Mailing address
5515 CANOGA AVE APT 321, WOODLAND HILLS, CA 91367-6631
(213) 509-5190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
12/08/2022
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