ODYSSEY COUNTY HOME SCHOOL NPI 1912110651

NPI Information

NPI: 1912110651
Provider Name: ODYSSEY COUNTY HOME SCHOOL
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
14300 CTY RD 62
MINNETONKA, MN
ZIP 55345
Phone: (612) 326-7555
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ODYSSEY COUNTY HOME SCHOOL is an addiction (substance use disorder) counselor in Minnetonka, MN. ODYSSEY COUNTY HOME SCHOOL NPI is 1912110651. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14300 CTY RD 62
MINNETONKA, MN
ZIP 55345
Phone: (612) 326-7555

The provider's authorized official is Valerie Bundy .
The authorized official title is Controller and has the following contact phone number (612) 326-7555.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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