| Odyssey Iop Inc | |
|
35 Journal Sq Ste 629c Jersey City NJ 07306-4029 | |
| (917) 597-0082 | |
| (201) 653-0917 |
| Full Name | Odyssey Iop Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 35 Journal Sq Ste 629c, Jersey City, New Jersey |
| Authorized Official Name and Position | Nicholas Silao (CEO) |
| Authorized Official Contact | 9175970082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Iop Inc 35 Journal Sq Ste 629c Jersey City NJ 07306-4029 Ph: (917) 597-0082 | Odyssey Iop Inc 35 Journal Sq Ste 629c Jersey City NJ 07306-4029 Ph: (917) 597-0082 |
| NPI Number | 1477130607 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477130607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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