Lifeline For Youth

LBN: Lifeline Behavioral Health, Llc
Lifeline For Youth is an health care organization with primary practice located at 1130 W Center St , North Salt Lake UT 84054-2917. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Substance Abuse Treatment, Children is the primary health care specialty. Lifeline Behavioral Health, Llc can be contacted via phone (801) 936-4000, or through Petersen, Shane R via phone (801) 936-4000.

Contact Information

Primary practice address
1130 W Center St North Salt Lake UT 84054-2917
Phone: (801) 936-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Shane R MBA
Phone: (801) 936-4000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1780884742
LBN Legal business name Lifeline Behavioral Health, Llc
DBA Doing business as Lifeline For Youth
Authorized official Petersen, Shane R MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2007
Last updated Apr 10th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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