NPI 1659513653

Omega Independent Living Services, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Cary, NC

Practice location

Address: 2410 Piney Plains Rd, Cary, NC 27518-6868
Phone: (919) 255-3268
Mailing address: 3029 Stony Brook Dr STE 105, Raleigh, NC 27604-3790

Authorised official

Name: Donald K Grantham
Title: Director of Operations
Phone: (919) 255-3268

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence MHL-092-702 (NC)

Other Community Based Residential Treatment Facility, Mental Illness providers in North Carolina →

Registry record

NPI: 1659513653
Entity type: Organization
NPI issued: 6 Apr 2009
Record last updated: 6 Apr 2009

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.