Organization
ODYSSEY YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGIDA LAWRENCE MORRIS (CEO)
(252) 916-7318
Entity
Organization
Contact information
Practice address
1415 MACK ST, SPRING LAKE, NC 28390-2509
(252) 916-7318
Mailing address
5075 MORGANTON RD STE 10C, FAYETTEVILLE, NC 28314-1534
(252) 916-7318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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