Organization
ODYSSEY COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE JACKSON MELVIN JR. (PRESIDENT/CEO)
(757) 438-5447
Entity
Organization
Contact information
Practice address
710 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 438-5447
(866) 389-9886
Mailing address
13389 WINDSONG WAY, CARROLLTON, VA 23314-3483
(757) 438-5447
(866) 389-9886
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
VA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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