| NPI | 1871114413 |
|---|---|
| Doing Business As | ODYSSEY MENTAL HEALTH AND ADDICTION CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SILAO Administrator 917-597-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |