| Odyssey House Inc | |
|
743 E 300 S Salt Lake City UT 84102 | |
| (801) 428-3500 | |
| (801) 210-5031 |
| Full Name | Odyssey House Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 743 E 300 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Adam Cohen (CEO) |
| Authorized Official Contact | 8014283449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey House Inc 344 E 100 S Ste 301 Salt Lake City UT 84111-1727 Ph: (801) 322-4257 | Odyssey House Inc 743 E 300 S Salt Lake City UT 84102 Ph: (801) 428-3500 |
| NPI Number | 1407481245 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407481245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
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