33D2251835 CLIA NUMBER - ODYSSEY HOUSE INC

Laboratory Demographics

CLIA Number: 33D2251835

Facility Name: ODYSSEY HOUSE INC

Facility Address:
953 SOUTHERN BLVD - SUITE 301
BRONX, NY
ZIP 10459
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Facility Phone Number: 718 860-2994

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1811351307

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	33D2251835
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	ODYSSEY HOUSE INC
Street	953 SOUTHERN BLVD - SUITE 301
City	BRONX
State	NY
ZIP	10459
Phone	718 860-2994
CertificateType	4
CertificateEffectiveDate	2/7/2022
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024