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Organization

ODYSSEY HOUSE OF UTAH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM COHEN (EXECUTIVE DIRECTOR)
(801) 428-3449
Entity
Organization

Contact information

Practice address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
(801) 322-2831
Mailing address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
(801) 322-2831

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary

Other

Enumeration date
05/12/2010
Last updated
05/12/2010
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