National Provider Identifier Database

ODYSSEY HOUSE CORP
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

ODYSSEY HOUSE CORP
623 S 200 E
SALT LAKE CITY, UT84111-3801
Phone: 928-708-9615
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for ODYSSEY HOUSE CORP

NPI Number 1194164525
Legal business name
LBN
ODYSSEY HOUSE CORP
Authorized official MATTHEW LUCHINI - (ACCOUNT MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 06/19/2013
Last updated 06/19/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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