NPI | 1720525678 |
---|---|
Other Name | OMNI YOUTH SERVICES |
Entity Type | Organization |
Authorized Contact | DORYCE MCCARTHY President 847-353-1758 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2017-01-30 |
Last Update Date | 2021-04-23 |