| NPI | 1407481245 |
|---|---|
| Doing Business As | ODYSSEY HOUSE MARTINDALE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ADAM COHEN CEO 801-428-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |