ODYSSEY PROGRAMS LLC NPI 1245364645

NPI Information

  • NPI: 1245364645
  • Provider Name: ODYSSEY PROGRAMS LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: ODYSSEY - EAGAN
  • Address: 1230 EAGAN INDUSTRIAL ROAD
    SUITE 100
    EAGAN, MN
    ZIP 55121
  • Phone: (612) 916-4873

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NPI Details

ODYSSEY PROGRAMS LLC is a substance abuse rehabilitation facility in Eagan, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ODYSSEY PROGRAMS LLC NPI is 1245364645. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Odyssey - Eagan.

The provider's business location address is:

1230 EAGAN INDUSTRIAL ROAD
SUITE 100
EAGAN, MN
ZIP 55121
Phone: (612) 916-4873

The provider's authorized official is Paul Lindeman .
The authorized official title is Director - Revenue Cycle Mgmt and has the following contact phone number (612) 326-7566.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 9/16/2008.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2324500000XSubstance Abuse Rehabilitation Facility8309164CDTMINNESOTAYes

What is NPI?

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This page was last updated on: 11/21/2025

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