Odyssey Family Counseling Center Corporation | |
1919 John Wesley Avenue College Park GA 30337 | |
(404) 762-9190 | |
(404) 762-9101 |
Full Name | Odyssey Family Counseling Center Corporation |
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Speciality | Counselor |
Location | 1919 John Wesley Avenue, College Park, Georgia |
Authorized Official Name and Position | Charles Cain Releford (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4047629190 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Odyssey Family Counseling Center Corporation 1919 John Wesley Avenue College Park GA 30337 Ph: (404) 762-9190 | Odyssey Family Counseling Center Corporation 1919 John Wesley Avenue College Park GA 30337 Ph: (404) 762-9190 |
NPI Number | 1689604605 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 09/14/2020 |
Certification Date | 09/11/2020 |
Medicare PECOS PAC ID | 3375963663 |
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Medicare Enrollment ID | O20201027001308 |
Identifier | Type | State | Issuer |
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1689604605 | NPI | - | NPPES |
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