| NPI | 1407227309 |
|---|---|
| Doing Business As | ODYSSEY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MARK HAYNES HENNING CEO 704-923-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P009324) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 21100.320) |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2016-03-07 |