Organization Name: | OMNI HEALTH SERVICES INC |
NPI Number: | 1831236637 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL MUTHAIAH THEVAR (PRESIDENT) |
Mailing Address: | 595 Bethlehem Pike Suite 106 Montgomeryville |
State: | PA US |
Postal Code: | 189369710 |
Phone Number: | 2677185022 |
Fax Number: | 2159972282 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/29/2010 |
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: |