Organization
ODYSSEY HOUSE, LA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CARLSON (CHIEF EXECUTIVE OFFICER)
(504) 494-9628
Entity
Organization
Contact information
Practice address
1138 N DUPRE ST, NEW ORLEANS, LA 70119-3204
(504) 821-9211
Mailing address
1125 N TONTI ST, NEW ORLEANS, LA 70119-3549
(504) 821-9211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH0003509
LA
Other
Enumeration date
05/26/2016
Last updated
10/26/2016
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