| 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 |
|---|---|
| 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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