Organization
ODYSSEY FAMILY COUNSELING CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES CAIN RELEFORD JR. (EXECUTIVE DIRECTOR)
(404) 762-9190
Entity
Organization
Contact information
Practice address
1919 JOHN WESLEY AVENUE, COLLEGE PARK, GA 30337
(404) 762-9190
(404) 762-9101
Mailing address
1919 JOHN WESLEY AVENUE, COLLEGE PARK, GA 30337
(404) 762-9190
(404) 761-9101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
060-013-D
GA
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/04/2006
Last updated
09/14/2020
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