Organization
ODYSSEY PROGRAMS LLC
Active
Organization
ODYSSEY PROGRAMS LLC
Active
Other names
Odyssey - Eagan
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL LINDEMAN (DIRECTOR - REVENUE CYCLE MGMT)
(612) 326-7566
Entity
Organization
Contact information
Practice address
1230 EAGAN INDUSTRIAL ROAD, SUITE 100, EAGAN, MN 55121
(612) 916-4873
Mailing address
550 MAIN STREET, SUITE 230, NEW BRIGHTON, MN 55112
(612) 326-7600
(651) 631-3231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
8309164CDT
MN
Other
Enumeration date
03/15/2007
Last updated
09/16/2008
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