Organization
ODYSSEY HOUSE
Active
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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