Provider Demographics
NPI:1558757658
Name:OTI MANAGEMENT CONSULTING, INC
Entity type:Organization
Organization Name:OTI MANAGEMENT CONSULTING, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:OSAROSE
Authorized Official - Middle Name:TRACEY
Authorized Official - Last Name:OKWUMBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-747-2240
Mailing Address - Street 1:50 CLINTON ST SUITE 205 RM2
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550
Mailing Address - Country:US
Mailing Address - Phone:631-747-2240
Mailing Address - Fax:
Practice Address - Street 1:50 CLINTON ST SUITE 205 RM2
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550
Practice Address - Country:US
Practice Address - Phone:631-747-2240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency