Organization
LIFE BALANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSIE DURDEN SUDC (OWNER)
(801) 367-0394
Entity
Organization
Contact information
Practice address
1291 EXPRESSWAY LN, SPANISH FORK, UT 84660-1333
(801) 367-0394
Mailing address
1291 EXPRESSWAY LN, SPANISH FORK, UT 84660-1333
(801) 367-0394
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/31/2016
Last updated
08/09/2019
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