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Life Stone Group, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Midvale, Utah
NPI 1871829283

Life Stone Group, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Midvale, UT and is specialized in Rehabilitation, Substance Use Disorder. Life Stone Group, Llc practices in Midvale, UT. The NPI Number for Life Stone Group, Llc is 1871829283 and holds a License No. (Utah).

The current practice location address for Life Stone Group, Llc is 613 E Fort Union Blvd Ste 104, Midvale, UT and can be reached out via phone at 801-984-1717 and via fax at 801-984-1720.

Location: 613 E Fort Union Blvd Ste 104, Midvale, UT, 84047-5531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871829283
Provider Name
Life Stone Group, Llc
Credential
Provider Entity Type
Organization
Address
613 E Fort Union Blvd Ste 104, Midvale, UT, 84047-5531
Phone Number
801-984-1717
Fax Number
801-984-1720
Provider Enumeration Date
10/20/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
613 E Fort Union Blvd Ste 104
City
Midvale
State
Utah
Zip
84047
Phone Number
801-984-1717
Fax Number
801-984-1720
person
Provider Business Mailing Address Details
Address
613 E Fort Union Blvd Ste 104
City
Midvale
State
Utah
Zip
84047
Phone Number
801-984-1717
Fax Number
801-984-1720
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
15893 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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