Organization
ODYSSEY HOUSE, INC.
Active
Other names
OdysseyNH
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK B. JOHANNESSEN LICSW (CEO)
(603) 758-1590
Entity
Organization
Contact information
Practice address
367 SHAKER RD, CANTERBURY, NH 03224-2736
(603) 783-7016
(603) 783-0358
Mailing address
30 WINNACUNNET RD, P.O. BOX 479, HAMPTON, NH 03842-2121
(603) 758-1550
(603) 758-1522
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
5564
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30008949
—
NH
Enumeration date
05/31/2007
Last updated
10/23/2008
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