| Odyssey House Of Utah, Inc. | |
|
500 N Rainbow Blvd Suite 300 Las Vegas NV 89107-1082 | |
| (801) 428-3407 | |
| Not Available |
| Full Name | Odyssey House Of Utah, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 N Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Brian Pilcher (BILLING MANAGER) |
| Authorized Official Contact | 8014283407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey House Of Utah, Inc. 344 E 100 S Suite 301 Salt Lake City UT 84111-1700 Ph: (801) 428-3407 | Odyssey House Of Utah, Inc. 500 N Rainbow Blvd Suite 300 Las Vegas NV 89107-1082 Ph: (801) 428-3407 |
| NPI Number | 1356797294 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 05/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356797294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV2015688985 (Nevada) | Primary |
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