Provider Demographics
NPI:1396285193
Name:ODYSSEY ACADEMY
Entity type:Organization
Organization Name:ODYSSEY ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL PROGRAMS
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:CAROLE
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-750-9289
Mailing Address - Street 1:2412 61ST ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-1802
Mailing Address - Country:US
Mailing Address - Phone:409-750-9289
Mailing Address - Fax:409-740-3310
Practice Address - Street 1:2412 61ST ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-1802
Practice Address - Country:US
Practice Address - Phone:409-750-9289
Practice Address - Fax:409-740-3310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)