# ODYSSEY HOUSE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OdysseyNH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295936730
- **Authorized official:** ERIK B. JOHANNESSEN LICSW (CEO)
- **Authorized official phone:** (603) 758-1590

## Contact information

- **Practice address:** 30 WINNACUNNET RD, HAMPTON, NH 03842-2121
- **Practice address phone:** (603) 758-1550
- **Practice address fax:** (603) 758-1522
- **Mailing address:** 30 WINNACUNNET RD, P.O. BOX 479, HAMPTON, NH 03842-2121
- **Mailing address phone:** (603) 758-1550
- **Mailing address fax:** (603) 758-1522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1071 | NH | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 10/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30007079 | — | NH |