Life-Line, Inc. in North Salt Lake - Adolescent And Children Mental Health
Life-Line, Inc. - NPI 1174711873
Life-Line, Inc. is a Adolescent And Children Mental Health in North Salt Lake, Utah. Life-Line, Inc. practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Life-Line, Inc. is 1174711873. The last update date is 2011-10-21.
Life-Line, Inc.'s current location address is 1130 W Center St, North Salt Lake, Utah. You can contact this provider via phone number 8019364000. The mailing address for Life-Line, Inc. is 1130 W Center St, North Salt Lake, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life-Line, Inc. |
|---|---|
| Address | 1130 W Center St, North Salt Lake, Utah |
| Phone Number | 8019364000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Petersen R Shane |
| Credentials | MBA |
| Telephone Number | 8019364000 |
NPI Number Detail
| NPI Number | 1174711873 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2011-10-21 |
Provider Mailing Address Detail
| Address | 1130 W Center St |
|---|---|
| City | North Salt Lake |
| State | Utah (UT) |
| Post Code | 840542917 |
| Phone Number | 8019364000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | 11832 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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Post Comment/ Review Below
What is the Life-Line, Inc.'s 1174711873?
The Life-Line, Inc.'s NPI (National Provider Identifier) Number is 1174711873. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Life-Line, Inc. is geographically located?
The Life-Line, Inc. is physically situated at the following location: 1130 W Center St, North Salt Lake, UT, 840542917.
What is Life-Line, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Life-Line, Inc. is Adolescent And Children Mental Health, and the corresponding taxonomy classification code for this specialized field is 261Qm0855X.
On what date was the 1174711873 assigned to Life-Line, Inc.?
The Life-Line, Inc. was issued its 1174711873 on 2007-10-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Life-Line, Inc. most recently updated or revised?
The details related to Life-Line, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2011-10-21.
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