Lifeline Behavioral Health, Llc in North Salt Lake - Rehabilitation, Substance Use Disorder
Lifeline Behavioral Health, Llc - NPI 1780884742
Lifeline Behavioral Health, Llc is a Rehabilitation, Substance Use Disorder in North Salt Lake, Utah. Lifeline Behavioral Health, Llc practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Lifeline Behavioral Health, Llc is 1780884742. The last update date is 2015-04-10.
Lifeline Behavioral Health, Llc'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 Lifeline Behavioral Health, Llc is 1130 W Center St, North Salt Lake, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lifeline Behavioral Health, Llc |
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Address | 1130 W Center St, North Salt Lake, Utah |
Phone Number | 8019364000 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF EXEC |
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Authorized Official Name | Petersen R Shane |
Credentials | MBA |
Telephone Number | 8019364000 |
NPI Number Detail
NPI Number | 1780884742 |
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Provider Enumeration Date | 2007-07-18 |
Last Updated Date | 2015-04-10 |
Provider Mailing Address Detail
Address | 1130 W Center St |
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City | North Salt Lake |
State | Utah (UT) |
Post Code | 840542917 |
Phone Number | 8019364000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
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Taxonomy | 261Qr0405X |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
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What is the unique identifier code issued to Lifeline Behavioral Health, Llc by the Centers for Medicare & Medicaid Services?
The Lifeline Behavioral Health, Llc has been assigned the NPI (National Provider Identifier) 1780884742. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lifeline Behavioral Health, Llc's physical address?
The Lifeline Behavioral Health, Llc is physically located at 1130 W Center St, in the city of North Salt Lake, UT, with the postal code 840542917.
What is Lifeline Behavioral Health, Llc's area of expertise and its corresponding taxonomy classification?
The Lifeline Behavioral Health, Llc's field of specialization is Rehabilitation, Substance Use Disorder, and it falls under the taxonomy code 261Qr0405X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lifeline Behavioral Health, Llc receive the assignment of its 1780884742 from the Centers for Medicare & Medicaid Services?
The Lifeline Behavioral Health, Llc was issued its 1780884742 by the Centers for Medicare & Medicaid Services on 2007-07-18.
As of what date was the information regarding Lifeline Behavioral Health, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lifeline Behavioral Health, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-04-10.
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