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Organization
ODYSSEY FAMILY COUNSELING CENTER CORPORATION
Active
Organization
ODYSSEY FAMILY COUNSELING CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES CAIN RELEFORD JR. (EXECUTIVE DIRECTOR)
(404) 762-9190
Entity
Organization
Contact information
Practice address
1919 JOHN WESLEY AVENUE, COLLEGE PARK, GA 30337
(404) 762-9190
(404) 762-9101
Mailing address
1919 JOHN WESLEY AVENUE, COLLEGE PARK, GA 30337
(404) 762-9190
(404) 761-9101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
060-013-D
GA
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/04/2006
Last updated
09/14/2020
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