| NPI | 1972015238 |
|---|---|
| Doing Business As | OM CENTER FOR WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MARITSA YZAGUIRRE-KELLEY CEO 754-812-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11108) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2021-06-10 |