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 |