Next Level Vitality LLC
NPI #1407402316 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1407402316
- Entity Type
- Organization
- Organization Name
- Next Level Vitality LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 15, 2019
- Last Updated
- Sep 22, 2022
Practice Location
- Address
- 26 W BRAHMAN BLVD
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85143-4852
- Phone
- (619) 366-1546
Authorized Official
- Name
- TIA ROSS
- Title
- OWNER
- Phone
- (619) 366-1546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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| Jamilyn Mcbride, MSW BHPP |
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| Revel Human Services LLC | |
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