Provider Demographics
NPI:1770239022
Name:ALPHA II OMEGA BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:ALPHA II OMEGA BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-220-6512
Mailing Address - Street 1:429 EASTERN BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-6735
Mailing Address - Country:US
Mailing Address - Phone:443-220-6512
Mailing Address - Fax:
Practice Address - Street 1:429 EASTERN BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-6735
Practice Address - Country:US
Practice Address - Phone:443-220-6512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility