Omega Youth Empowerment | |
600 N Broad St Adrian MI 49221-2132 | |
(517) 902-1754 | |
Not Available |
Full Name | Omega Youth Empowerment |
---|---|
Speciality | Counselor |
Location | 600 N Broad St, Adrian, Michigan |
Authorized Official Name and Position | Jon Schoonmaker (COUNSELOR) |
Authorized Official Contact | 5179021754 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Omega Youth Empowerment 600 N Broad St Adrian MI 49221-2132 Ph: (517) 902-1754 | Omega Youth Empowerment 600 N Broad St Adrian MI 49221-2132 Ph: (517) 902-1754 |
NPI Number | 1790332724 |
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Provider Enumeration Date | 08/23/2019 |
Last Update Date | 08/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790332724 | NPI | - | NPPES |
P234109 | Other | MI | BLUE CROSS BLUE SHIELD |
12409755 | Other | MI | MERIDIAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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