| Omni Integrative Wellness Inc. | |
|
467 Hadley Mill Rd Jackson ME 04921-3119 | |
| (207) 505-6082 | |
| Not Available |
| Full Name | Omni Integrative Wellness Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 11/25/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386248714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |