Organization
ODYSSEY HOUSE, INC
Active
Organization
ODYSSEY HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIYO JIKKO (ASSISTANT CONTROLLER)
(212) 361-1600
Entity
Organization
Contact information
Practice address
953 SOUTHERN BLVD RM 301, BRONX, NY 10459-3428
(718) 860-2994
Mailing address
120 WALL ST STE 1700, NEW YORK, NY 10005-4001
(212) 361-1600
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/20/2006
Last updated
01/12/2026
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