NPI 1104265537

Odyssey House Corp

Organisation Substance Abuse Rehabilitation Facility Salt Lake City, UT

Practice location

Address: 68 S 600 E, Salt Lake City, UT 84102-1007
Phone: (928) 708-9615
Mailing address: 344 E 100 S Suite 301, Salt Lake City, UT 84111-1700

Authorised official

Name: Matthew Luchini
Title: Account Manager
Phone: (928) 533-4220

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Utah →

Registry record

NPI: 1104265537
Entity type: Organization
NPI issued: 19 Jun 2013
Record last updated: 19 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.