NPI:
1043665896
Provider Name:
OMNI YOUTH SERVICES
Other Name: OMNI YOUTH SERVICES-BG DASA
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1111 W LAKE COOK RD
BUFFALO GROVE, IL
ZIP 60089
Phone:
(847) 353-1500
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OMNI YOUTH SERVICES is a rehabilitation and substance use disorder clinic center in Buffalo Grove, IL. OMNI YOUTH SERVICES NPI is 1043665896. The provider is registered as an organization entity type.
The provider Other Name Is Omni Youth Services-bg Dasa.
The provider's business location address is:
1111 W LAKE COOK RD
BUFFALO GROVE, IL
ZIP 60089-926
Phone: (847) 353-1500
Fax: (847) 465-1964
The provider's authorized official is Doryce Mccarthy .
The authorized official title is Coo and has the following contact phone number (847) 353-1500.
The enumeration date for this NPI number is 4/29/2016 and was last updated on 4/23/2021.