Odyssey Community Services Inc | |
710 Mobjack Pl Newport News VA 23606-1957 | |
(757) 438-5447 | |
(866) 389-9886 |
Full Name | Odyssey Community Services Inc |
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Speciality | Community/behavioral Health |
Location | 710 Mobjack Pl, Newport News, Virginia |
Authorized Official Name and Position | Tyrone Jackson Melvin (PRESIDENT/CEO) |
Authorized Official Contact | 7574385447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Odyssey Community Services Inc 13389 Windsong Way Carrollton VA 23314-3483 Ph: (757) 438-5447 | Odyssey Community Services Inc 710 Mobjack Pl Newport News VA 23606-1957 Ph: (757) 438-5447 |
NPI Number | 1790189520 |
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Provider Enumeration Date | 10/22/2014 |
Last Update Date | 10/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790189520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Virginia) | Primary |
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