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ODYSSEY PROGRAMS LLC NPI 1245364645


NPI Information

NPI: 1245364645
Provider Name: ODYSSEY PROGRAMS LLC

Doing Business As: ODYSSEY - EAGAN

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1230 EAGAN INDUSTRIAL ROAD
SUITE 100
EAGAN, MN
ZIP 55121
Phone: (612) 916-4873
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2324500000XSubstance Abuse Rehabilitation Facility8309164CDTMINNESOTAYes

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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