| Organization Name: | OMNI THERAPY CENTER |
| NPI Number: | 1265793855 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL GARCIA (CEO/LEAD COUNSELOR) |
| Mailing Address: | 2116 Veterans Blvd Suite 3 Del Rio |
| State: | TX US |
| Postal Code: | 788403042 |
| Phone Number: | 8307347732 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2012 |
| NPI Last Update Date: | 05/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 66628 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |