Organization
ODYSSEY HOUSE OF UTAH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PILCHER (BILLING MANAGER)
(801) 428-3407
Entity
Organization
Contact information
Practice address
500 N RAINBOW BLVD, SUITE 300, LAS VEGAS, NV 89107-1082
(801) 428-3407
Mailing address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 428-3407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV2015688985
NV
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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