NPI 1174209860
Omega Group LLC
Practice location
- Address
- 301 S McDowell St STE 125, Charlotte, NC 28204-0031
- Phone
- (443) 822-4357
Authorised official
- Name
- Corie D Johnson
- Title
- Partner / Founder
- Phone
- (443) 822-4357
Registered specialties (3)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Community/Behavioral Health Agency
Psychiatric Residential Treatment Facility
Registry record
- NPI
- 1174209860
- Entity type
- Organization
- NPI issued
- 26 Jun 2023
- Record last updated
- 26 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.