Organization
ODYSSEY HOUSE CORP
Active
Parent organization
ODYSSEY HOUSE CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODYSSEY HOUSE CORP
Authorized official
MATTHEW LUCHINI (ACCOUNT MANAGER)
(928) 533-4220
Entity
Organization
Contact information
Practice address
880 E 3375 S, SALT LAKE CITY, UT 84106-1536
(928) 708-9615
Mailing address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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