Whalio Doctors

NPI 1295936656

Odyssey House, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Hampton, NH

Practice location

Address
124 Landing Rd, Hampton, NH 03842-2603
Phone
(603) 926-3195
Fax
(603) 926-3195
Mailing address
30 Winnacunnet Rd P.O. Box 479, Hampton, NH 03842-2121

Authorised official

Name
Erik B. Johannessen
Title
Ceo
Phone
(603) 758-1590

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 2130 (NH)

Registry record

NPI
1295936656
Entity type
Organization
NPI issued
31 May 2007
Record last updated
23 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.