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ODYSSEY HOUSE NPI 1326358599


NPI Information

NPI: 1326358599
Provider Name: ODYSSEY HOUSE

Doing Business As: ODYSSEY HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
340 EAST 100 SOUTH
ODYSSEY HOUSE
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 322-4257
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ODYSSEY HOUSE is a substance abuse rehabilitation facility in Salt Lake City, UT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ODYSSEY HOUSE NPI is 1326358599. The provider is registered as an organization entity type.
The provider Is Doing Business As Odyssey House.

The provider's business location address is:

340 EAST 100 SOUTH
ODYSSEY HOUSE
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 322-4257

The provider's authorized official is Albert M Ochoa .
The authorized official title is Substance Abuse Counsler and has the following contact phone number (801) 699-5917.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 10/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility7763887-6004UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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