Omni Integrative Wellness Inc. | |
467 Hadley Mill Rd Jackson ME 04921-3119 | |
(207) 505-6082 | |
Not Available |
Full Name | Omni Integrative Wellness Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 467 Hadley Mill Rd, Jackson, Maine |
Authorized Official Name and Position | Lisa Audino (COO) |
Authorized Official Contact | 2075056082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Omni Integrative Wellness Inc. Po Box 115 Brooks ME 04921-0115 Ph: (207) 505-6082 | Omni Integrative Wellness Inc. 467 Hadley Mill Rd Jackson ME 04921-3119 Ph: (207) 505-6082 |
NPI Number | 1386248714 |
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Provider Enumeration Date | 11/25/2020 |
Last Update Date | 11/25/2020 |
Certification Date | 08/24/2020 |
Identifier | Type | State | Issuer |
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1386248714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |