Organization
ODYSSEY HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CARITAS CALLAHAN L.C.S.W. (SENIOR MANAGER, DIRECTOR OF OUTPATI)
(718) 860-2994
Entity
Organization
Contact information
Practice address
953 SOUTHERN BLVD, SUITE 301, BRONX, NY 10459-3428
(718) 860-2994
(718) 860-4479
Mailing address
953 SOUTHERN BLVD, SUITE 301, BRONX, NY 10459-3428
(718) 860-2994
(718) 860-4479
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P056639-1
NY
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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