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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Psychiatric Residential Treatment Facility |
323P00000X |
| NPI Number | 1386083715 |
| LBN Legal business name | ODYSSEY HOUSE CORP |
| Authorized official | MATTHEW LUCHINI - (ACCOUNT MANAGER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 06/19/2013 |
| Last updated | 06/19/2013 - About 13 years ago |
| Identifiers | n/a |
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ODYSSEY HOUSE CORP
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| WILLIAM TEMPLETON, BA 857 E 200 S SALT LKE CITY, UT |
| ODYSSEY HOUSE 340 EAST 100 SOUTH SALT LAKE CITY, UT |
| CHRIS OSTLER 344 EAST 100 SOUTH,STE 301 SALT LAKE CITY, UT |
| ANN SHIPLEY, CRNP 144 S MAIN ST ALPINE, UT |
| ALPINE RECOVERY LODGE LLC 1018 E OAKHILL DR ALPINE, UT |
| ALPINE RECOVERY LODGE LLC 1018 E OAKHILL DR ALPINE, UT |
| MICHAELA P HUTCHINS 3740 MARKET CENTER DR 84065, UT |
| PAUL D ANDERSON, MPT 75 W MAIN STREET CT STE 100 ALPINE, UT |
ODYSSEY HOUSE CORP