Organization
ODYSSEY EDUCATION ACADEMY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR SILLAH CRC (PRESIDENT, OWNER)
(202) 499-0885
Entity
Organization
Contact information
Practice address
11738 S LAUREL DR, APT. 4A, LAUREL, MD 20708-2940
(202) 499-0885
Mailing address
11738 S LAUREL DR, APT. 4A, LAUREL, MD 20708-2940
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00117360
IL
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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