Organization
ODYSSEY HOUSE INC-UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CHANDLER (SUPPORT STAFF COORDINATOR)
(801) 448-8914
Entity
Organization
Contact information
Practice address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
5009 S 1034 E, SALT LAKE CITY, UT 84117-5733
(801) 884-9458
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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