Organization
ODYSSEY IOP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SILAO (CEO)
(917) 597-0082
Entity
Organization
Contact information
Practice address
35 JOURNAL SQ STE 629C, JERSEY CITY, NJ 07306-4029
(917) 597-0082
(201) 653-0917
Mailing address
35 JOURNAL SQ STE 629C, JERSEY CITY, NJ 07306-4029
(917) 597-0082
(201) 653-0917
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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