Organization
ODYSSEY STABILITY SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRA KELLUM (OPERATIONS OFFICER)
(281) 787-1429
Entity
Organization
Contact information
Practice address
220 N VISTA DR, HOUSTON, TX 77073-3419
(281) 787-1429
(281) 444-1134
Mailing address
220 N VISTA DR, HOUSTON, TX 77073-3419
(281) 787-1429
(281) 444-1134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
02/16/2010
Last updated
12/10/2020
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