Organization
ODYSSEY HOUSE LOUISIANA INC
Active
Other names
Odyssey House Community Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD CARLSON (CEO)
(504) 383-8559
Entity
Organization
Contact information
Practice address
1125 N. TONTI ST., C/O COMMUNITY MEDICAL CLINIC, NEW ORLEANS, LA 70119
(504) 383-8559
Mailing address
1125 N TONTI ST, C/O COMMUNITY CLINIC, NEW ORLEANS, LA 70119-3549
(504) 383-8559
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
04/22/2022
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