| NPI | 1932578408 |
|---|---|
| Other Name | ODYSSEY HOUSE COMMUNITY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | EDWARD CARLSON CEO 504-383-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2022-04-22 |