ODYSSEY MEDICAL ASSOCIATES LLC NPI 1659127256

NPI Information

  • NPI: 1659127256
  • Provider Name: ODYSSEY MEDICAL ASSOCIATES LLC
  • Classification: Clinic/Center - 261QR0800X
  • Specialization: Recovery Care
  • Entity Type: Organization
  • Address: 375 WESTGATE DR
    BROCKTON, MA
    ZIP 02301
  • Phone: (857) 544-2776

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NPI Details

ODYSSEY MEDICAL ASSOCIATES LLC is a recovery care clinic center in Brockton, MA. ODYSSEY MEDICAL ASSOCIATES LLC NPI is 1659127256. The provider is registered as an organization entity type.

The provider's business location address is:

375 WESTGATE DR
BROCKTON, MA
ZIP 02301-818
Phone: (857) 544-2776

The provider's authorized official is Xavier Caban .
The authorized official title is President and has the following contact phone number (857) 544-2776.

The enumeration date for this NPI number is 4/25/2024 and was last updated on 4/25/2024.

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
1261QH0100XClinic/CenterHealth ServiceNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3261QR0800XClinic/CenterRecovery CareYes

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: 3/30/2025

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