Omni Therapy Center

NPI 1265793855 - Counselor - 101YA0400X

NPI Details
NPI 1265793855
Enumeration Date 05/31/2012
Last Updated 05/31/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SAMUEL SAMUEL
Position CEO/LEAD COUNSELOR
Phone (830) 734-7732
Fax
Practice Location
2116 VETERANS BLVD
SUITE 3
DEL RIO TX, 78840-3042, US
Phone (830) 734-7732
Fax
Business Location
2116 VETERANS BLVD
SUITE 3
DEL RIO TX, 78840-3042, US
Phone (830) 734-7732
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Texas
License Number 66628
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According to our database, Omni Therapy Center NPI is 1265793855, taxonomy code is 101YA0400X and license number is 66628, license state is located at Texas. Omni Therapy Center physically located at 2116 Veterans Blvd, Del Rio TX, 78840-3042. NPI Number 1033115704 has the healthcare provider type.

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1265793855 NPI number is provided on an as is basis without warranty of any kind. 1265793855 is maintained by the National Plan & Provider Enumeration System. The contents of Omni Therapy Center are for informational purposes only.