| NPI | 1780884742 |
|---|---|
| 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 | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2015-04-10 |