Organization
ODYSSEY HOUSE LOUISIANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD C. CARLSON MFT (CEO)
(504) 821-9211
Entity
Organization
Contact information
Practice address
2438 GOVERNOR NICHOLLS ST, NEW ORLEANS, LA 70119-3447
(504) 821-9211
Mailing address
1125 NORTH TONTI STREET, NEW ORLEANS, LA 70119
(504) 821-9211
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
050
LA
Other
Enumeration date
09/10/2014
Last updated
06/02/2023
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