Odyssey Youth Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ODYSSEY YOUTH SERVICES

Practice address

1415 Mack St
Spring Lake, NC 28390-2509

Phone

(252) 916-7318

NPI assigned

Jul 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brigida Lawrence Morris

Title

Ceo

Phone

(252) 916-7318

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1407694730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 MORGANTON RD STE 10C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141534",
            "telephone_number": "252-916-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MACK ST",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902509",
            "telephone_number": "252-916-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIGIDA",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-916-7318"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Rose Norris
• North Carolina Physicians Eyecare Group, P.C.
• Jennifer Lynn O'Leary, OTRL
• Ashley Ocker
• Lindsay D Odom
• Cordelia Okonta
• Lauren Olsen
• Jennifer Araseli Orellana
• Hailey Outlaw
• Erin K Owens

• Mental Illness Community Based Residential Treatment Facility in Spring Lake, NC
• Providers in Spring Lake, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.