| Omni Youth Services-ah Dasa | |
|
1616 N Arlington Heights Rd Arlington Heights IL 60004-3981 | |
| (847) 353-1500 | |
| (847) 253-7230 |
| Full Name | Omni Youth Services-ah Dasa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1616 N Arlington Heights Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Doryce Mccarthy (COO) |
| Authorized Official Contact | 8473531500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Youth Services-ah Dasa 1616 N Arlington Heights Rd Arlington Heights IL 60004-3981 Ph: (847) 353-1500 | Omni Youth Services-ah Dasa 1616 N Arlington Heights Rd Arlington Heights IL 60004-3981 Ph: (847) 353-1500 |
| NPI Number | 1790130607 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790130607 | NPI | - | NPPES |
| 08005 | Other | IL | DASA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 08005 (Illinois) | Primary |
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