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ODYSSEY MENTAL HEALTH AND ADDICTION CENTER LLC NPI 1871114413


NPI Information

NPI: 1871114413
Provider Name: ODYSSEY MENTAL HEALTH AND ADDICTION CENTER, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
35 JOURNAL SQ STE 629D
JERSEY CITY, NJ
ZIP 07306
Phone: (800) 673-5766
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ODYSSEY MENTAL HEALTH AND ADDICTION CENTER, LLC is an adult mental health clinic center in Jersey City, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ODYSSEY MENTAL HEALTH AND ADDICTION CENTER, LLC NPI is 1871114413. The provider is registered as an organization entity type.

The provider's business location address is:

35 JOURNAL SQ STE 629D
JERSEY CITY, NJ
ZIP 07306-029
Phone: (800) 673-5766
Fax: (201) 653-0917

The provider's authorized official is Nicholas Silao .
The authorized official title is Administrator and has the following contact phone number (917) 597-0082.

The enumeration date for this NPI number is 5/6/2020 and was last updated on 5/6/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

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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