Provider Demographics
NPI:1245958669
Name:OASIS MENTAL HEALTH
Entity type:Organization
Organization Name:OASIS MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:OLAWUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:AROWOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-524-2607
Mailing Address - Street 1:8900 CAROLINA CIR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-6529
Mailing Address - Country:US
Mailing Address - Phone:347-524-2607
Mailing Address - Fax:
Practice Address - Street 1:8900 CAROLINA CIR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-6529
Practice Address - Country:US
Practice Address - Phone:347-524-2607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service