Organization
ODYSSEY HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM COHEN (CEO)
(801) 428-3449
Entity
Organization
Contact information
Practice address
340 E 100 S, SALT LAKE CITY, UT 84111-1702
(801) 322-3222
(801) 322-2831
Mailing address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(801) 322-4257
(801) 322-2831
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
163407-1205
UT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
11273
UT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/10/2006
Last updated
01/13/2026
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