Organization
ODYSSEY HOUSE OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA RULLER (OFFICE ASSISTANT)
(801) 428-3402
Entity
Organization
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 428-3402
Mailing address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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