National Provider Identifier Database

ODYSSEY HOUSE CORP
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

ODYSSEY HOUSE CORP
607 E 200 S
SALT LAKE CITY, UT84102-2110
Phone: 928-708-9615
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

* Indicates primary specialty

NPI Profile & details for ODYSSEY HOUSE CORP

NPI Number 1053750760
Legal business name
LBN
ODYSSEY HOUSE CORP
Authorized official MATTHEW LUCHINI - (ACCOUNT MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 06/17/2013
Last updated 06/17/2013 - 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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