NPI 1528306446

Lifestar Salt Lake, LLC

Organisation Community/Behavioral Health Agency Murray, UT

Practice location

Address: 151 E 5600 S #204, Murray, UT 84107-6181
Phone: (801) 262-2400
Fax: (801) 262-9991

Authorised official

Name: Daniel D Gray
Title: Clinical Director
Phone: (801) 262-2400

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 123039-3501 (UT)

Other Community/Behavioral Health providers in Utah →

Registry record

NPI: 1528306446
Entity type: Organization
NPI issued: 28 Jan 2013
Record last updated: 28 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.