Odyssey House Inc
Odyssey House Inc is a Family Medicine Physician in Salt Lake City, Utah. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
743 E 300 SSalt Lake City, UT 84102
Phone: (801) 428-3500
Fax: (801) 210-5031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Addiction Medicine (Family Medicine) Physician | Taxonomy 207QA0401X |
Record details
| NPI number | 1407481245 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adam Cohen — Ceo · (801) 428-3449 |
| Other names | Odyssey House Martindale Clinic |
| NPI enumerated | March 11, 2020 |
| Last updated in NPPES | March 11, 2020 |
| Certification date | March 11, 2020 |
| Mailing address | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 |
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