ODYSSEY HOUSE CORP
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Active
Organization
NPI: 1053750760
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | No | - |
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children | 3245S0500X | Yes | - |
Frequently Asked Questions
NPI 1053750760 is the National Provider Identifier for ODYSSEY HOUSE CORP, a Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children provider located in Salt Lake City, UT. This NPI was enumerated on June 17, 2013.
Quick Facts
- NPI
- 1053750760
- Type
- Organization
- Enumerated
- Jun 17, 2013
- Last Updated
- Jun 17, 2013
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MR. BRENT JACKSON
Counselor
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MARIA-ANN BROWN
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DR. FAWAD TANVIR, MD
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