Provider Demographics
NPI:1710540604
Name:OMEGA TREATMENT CENTER, LLC
Entity Type:Organization
Organization Name:OMEGA TREATMENT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:F
Authorized Official - Last Name:CSIKESZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-427-4415
Mailing Address - Street 1:636 JASON CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-2577
Mailing Address - Country:US
Mailing Address - Phone:724-396-0664
Mailing Address - Fax:
Practice Address - Street 1:2994 RIVER RD REAR
Practice Address - Street 2:
Practice Address - City:VANDERGRIFT
Practice Address - State:PA
Practice Address - Zip Code:15690-6053
Practice Address - Country:US
Practice Address - Phone:724-236-0799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Single Specialty