| NPI | 1043665896 |
|---|---|
| Other Name | OMNI YOUTH SERVICES-BG DASA |
| Entity Type | Organization |
| Authorized Contact | DORYCE MCCARTHY COO 847-353-1500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2021-04-23 |