Odyssey House
NPI #1265871644 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1265871644
- Entity Type
- Organization
- Organization Name
- Odyssey House
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ODYSSEY HOUSE
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Jun 19, 2013
- Last Updated
- Jun 19, 2013
Practice Location
- Address
- 344 E 100 S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84111-1700
- Phone
- (928) 708-9615
Authorized Official
- Name
- MATTHEW LUCHINI
- Title
- ACCOUNT MANAGER
- Phone
- (928) 533-4220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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