Life-Line, Inc
Life-Line, Inc is an Adolescent and Children Mental Health Clinic/Center in North Salt Lake, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
- 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
1130 W Center StNorth Salt Lake, UT 84054-2917
Phone: (801) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X · Licence 11832 (UT) |
|---|---|
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X · Licence 11832 (UT) |
Record details
| NPI number | 1174711873 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Petersen — Chief Executive Officer · (801) 936-4000 |
| Other names | Lifeline For Youth |
| NPI enumerated | October 9, 2007 |
| Last updated in NPPES | October 21, 2011 |
| Mailing address | 1130 W Center St, North Salt Lake, UT 84054-2917 |
Other providers in North Salt Lake
-
Lifeline Behavioral Health, LLC
1130 W Center St, North Salt Lake, UT 84054-2917 · (801) 936-4000