ODYSSEY HOUSE NPI 1801162995

NPI Information

NPI: 1801162995
Provider Name: ODYSSEY HOUSE
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
350 E 2100 S
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 322-1185
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ODYSSEY HOUSE is a rehabilitation and substance use disorder clinic center in Salt Lake City, UT. ODYSSEY HOUSE NPI is 1801162995. The provider is registered as an organization entity type.

The provider's business location address is:

350 E 2100 S
SALT LAKE CITY, UT
ZIP 84115-266
Phone: (801) 322-1185
Fax: (801) 322-4002

The provider's authorized official is Emily Tillett .
The authorized official title is Director Of Business Ops and has the following contact phone number (801) 428-3487.

The enumeration date for this NPI number is 3/22/2012 and was last updated on 4/5/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	11881	UTAH	No
2	261QM0850X	Clinic/Center	Adult Mental Health	11881	UTAH	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	11881	UTAH	Yes

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

NPI Synchronization or Removal

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