| Odyssey For Personal Wellness Inc. | |
|
706 13th St Modesto CA 95354-2414 | |
| (925) 278-9045 | |
| Not Available |
| Full Name | Odyssey For Personal Wellness Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 706 13th St, Modesto, California |
| Authorized Official Name and Position | Clifford Frank Owens (PRESIDENT) |
| Authorized Official Contact | 9252789045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey For Personal Wellness Inc. 1701 Epping Ave Modesto CA 95355-7859 Ph: (925) 278-9045 | Odyssey For Personal Wellness Inc. 706 13th St Modesto CA 95354-2414 Ph: (925) 278-9045 |
| NPI Number | 1275150203 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275150203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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