NPI | 1790130607 |
---|---|
Other Name | OMNI YOUTH SERVICES-AH DASA |
Entity Type | Organization |
Authorized Contact | DORYCE MCCARTHY COO 847-353-1500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 08005) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2016-04-28 |