| Organization Name: | ODYSSEY HOUSE, INC. |
| NPI Number: | 1912108390 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIK B. JOHANNESSEN (CEO) |
| Mailing Address: | 367 Shaker Rd Canterbury |
| State: | NH US |
| Postal Code: | 032242736 |
| Phone Number: | 6037837016 |
| Fax Number: | 6037830358 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 10/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0050X |
| License Number: | 5564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Family Planning, Non-Surgical |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |