| Omni-wu Coalition | |
|
500 Woodlake Dr Ste 105b Chesapeake VA 23320-8923 | |
| (757) 513-1673 | |
| (757) 740-5166 |
| Full Name | Omni-wu Coalition |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 Woodlake Dr Ste 105b, Chesapeake, Virginia |
| Authorized Official Name and Position | Jessica Brodie (CO-OWNER) |
| Authorized Official Contact | 7575131673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni-wu Coalition 500 Woodlake Dr Ste 105b Chesapeake VA 23320-8923 Ph: (757) 513-1673 | Omni-wu Coalition 500 Woodlake Dr Ste 105b Chesapeake VA 23320-8923 Ph: (757) 513-1673 |
| NPI Number | 1619710969 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 06/10/2025 |
| Certification Date | 06/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619710969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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