Organization Name: | OMNI BEHAVIORAL HEALTH SOLUTIONS, LLC |
NPI Number: | 1023285608 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK FLESCHER (OWNER) |
Mailing Address: | 90 W Main St Freehold |
State: | NJ US |
Postal Code: | 077282144 |
Phone Number: | 7327666067 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |