Healthcare Provider Details

I. General information

NPI: 1225959497
Provider Name (Legal Business Name): UMOJA HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 S MEMORIAL DR STE 2
APPLETON WI
54915-1409
US

IV. Provider business mailing address

2110 S MEMORIAL DR STE 2
APPLETON WI
54915-1409
US

V. Phone/Fax

Practice location:
  • Phone: 920-512-6220
  • Fax:
Mailing address:
  • Phone: 920-512-6220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OLIVIER OMBERI
Title or Position: DIRECTOR
Credential:
Phone: 920-512-6220