Organization
ODYSSEY FOR PERSONAL WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD FRANK OWENS LMFT (PRESIDENT)
(925) 278-9045
Entity
Organization
Contact information
Practice address
706 13TH ST, MODESTO, CA 95354-2414
(925) 278-9045
Mailing address
1701 EPPING AVE, MODESTO, CA 95355-7859
(925) 278-9045
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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