| NPI | 1689814105 |
|---|---|
| Other Name | OMNI YOUTH SERVICES-VERNON |
| Entity Type | Organization |
| Authorized Contact | SHANAN EGGER CFO 847-353-1762 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: IL 08005) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |