| Odyssey House Inc. La | |
|
1125 N Tonti St New Orleans LA 70119-3549 | |
| (504) 378-7816 | |
| (504) 371-5162 |
| Full Name | Odyssey House Inc. La |
|---|---|
| Speciality | Clinic/center |
| Location | 1125 N Tonti St, New Orleans, Louisiana |
| Authorized Official Name and Position | Leigh A De Monredon (CLINIC DIRECTOR) |
| Authorized Official Contact | 5042202194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey House Inc. La 1125 N Tonti St New Orleans LA 70119-3549 Ph: (504) 378-7816 | Odyssey House Inc. La 1125 N Tonti St New Orleans LA 70119-3549 Ph: (504) 378-7816 |
| NPI Number | 1063713865 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 11/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063713865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP094186 (Louisiana) | Primary |
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