# ODYSSEY HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ODYSSEY HOUSE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265871644
- **Legal business name:** ODYSSEY HOUSE
- **Authorized official:** MATTHEW LUCHINI (ACCOUNT MANAGER)
- **Authorized official phone:** (928) 533-4220

## Contact information

- **Practice address:** 344 E 100 S, SALT LAKE CITY, UT 84111-1700
- **Practice address phone:** (928) 708-9615
- **Mailing address:** 344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 06/19/2013