Organization
OMNI YOUTH SERVICES, INC.
Active
Parent organization
OMNI YOUTH SERVICES, INC.
Other names
EDGE Counseling Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNI YOUTH SERVICES, INC.
Authorized official
MR. SHANAN MATTHEW EGGER CFO (CFO)
(847) 353-1762
Entity
Organization
Contact information
Practice address
1111 W LAKE COOK RD, BUFFALO GROVE, IL 60689
(847) 353-1500
(847) 465-1964
Mailing address
1111 W LAKE COOK RD, BUFFALO GROVE, IL 60689
(847) 353-1500
(847) 465-1964
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/08/2015
Last updated
01/08/2026
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