OrganizationActive
Odyssey House
NPI 1265871644 · Adolescent and Children Mental Health Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1265871644
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Odyssey House
- Organization subpart
- Yes
- Authorized official
- Matthew Luchini, Account Manager(928) 533-4220
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
344 E 100 S
Salt Lake City, UT 84111-1700
Phone: (928) 708-9615
Approximate (ZIP-level) locationGet directions
Mailing address
344 E 100 S
Salt Lake City, UT 84111-1700
Registry dates
- Enumerated
- 2013-06-19
- Last updated
- 2013-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.