Provider Demographics
NPI:1689418972
Name:OMNI FAMILY OF SERVICES NORTH CAROLINA INC.
Entity type:Organization
Organization Name:OMNI FAMILY OF SERVICES NORTH CAROLINA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL PROJECTS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-851-8905
Mailing Address - Street 1:3739 NATIONAL DR STE 220
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4063
Mailing Address - Country:US
Mailing Address - Phone:800-851-8905
Mailing Address - Fax:
Practice Address - Street 1:3739 NATIONAL DR STE 220
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-4063
Practice Address - Country:US
Practice Address - Phone:800-851-8905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251S00000XAgenciesCommunity/Behavioral Health