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Organization
ODYSSEY HOUSE
Active
Organization
ODYSSEY HOUSE
Active
Parent organization
ODYSSEY HOUSE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODYSSEY HOUSE
Authorized official
MATTHEW LUCHINI (ACCOUNT MANAGER)
(928) 533-4220
Entity
Organization
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(928) 708-9615
Mailing address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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