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NPI 1154861557

OrganizationActive

Omnis Health Life, LLC

NPI 1154861557 · Methadone Clinic · Baltimore, MD

Provider details

NPI number: 1154861557
Entity type: Organization
Primary specialty: Methadone ClinicAmbulatory Health Care Facilities
Authorized official: Rachel Wilson, Chairwoman

Practice location

2200 Garrison Blvd Ste 100 200 300

Baltimore, MD 21216-2619

Phone: (667) 212-4187

More MD providers

Mailing address

162 Ponte Vedra Dr

Fayetteville, GA 30215-8040

Registry dates

Enumerated: 2017-03-03
Last updated: 2025-09-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Omnis Health Life, LLC — NPI 1154861557, Baltimore, MD | NPI Central