NPI | 1699943118 |
---|---|
Doing Business As | LIFELINE FOR YOUTH |
Entity Type | Organization |
Authorized Contact | SHANE R PETERSEN Chief Executive Officer 801-936-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 129867-3501) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2011-10-21 |