Organization
ODYSSEY HOUSE
Active
Parent organization
ODYSSEY HOUSE
Other names
Odyssey House
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODYSSEY HOUSE
Authorized official
MR. ALBERT M OCHOA CSAC-I (SUBSTANCE ABUSE COUNSLER)
(801) 699-5917
Entity
Organization
Contact information
Practice address
340 EAST 100 SOUTH, ODYSSEY HOUSE, SALT LAKE CITY, UT 84111
(801) 322-4257
Mailing address
340 EAST 100 SOUTH, ODYSSEY HOUSE, SALT LAKE CITY, UT 84111
(801) 322-4257
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
7763887-6004
UT
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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