Organization
ODYSSEY HOUSE INC LOUISIANA
Active
Other names
Odyssey House Free Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD C CARLSON (EXECUTIVE DIRECTOR)
(504) 378-7816
Entity
Organization
Contact information
Practice address
1125 N TONTI ST, NEW ORLEANS, LA 70119-3549
(504) 378-7816
Mailing address
1125 N TONTI ST, NEW ORLEANS, LA 70119-3549
(504) 378-7816
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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