| Odyssey Behavioral Health Care Llc | |
|
4912 Duncan Ln Gastonia NC 28056-9361 | |
| (704) 941-7938 | |
| Not Available |
| Full Name | Odyssey Behavioral Health Care Llc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 4912 Duncan Ln, Gastonia, North Carolina |
| Authorized Official Name and Position | Pamler Rebecca Walls Ervin (OWNER) |
| Authorized Official Contact | 7049417938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Behavioral Health Care Llc Po Box 39024 Charlotte NC 28278-1050 Ph: (704) 941-7938 | Odyssey Behavioral Health Care Llc 4912 Duncan Ln Gastonia NC 28056-9361 Ph: (704) 941-7938 |
| NPI Number | 1225845175 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225845175 | NPI | - | NPPES |
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