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NPI Code Detail

MEDICARE: NEXT LEVEL RECOVERY

MEDICARE: NEXT LEVEL RECOVERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1730530718
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXT LEVEL RECOVERY
Provider Business Mailing Address
First Line : 6771 S 900 E
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1436
Country : US
Telephone Number : 801-557-9788
Fax Number :
Provider Business Practice Location Address
First Line : 6771 S 900 E
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1436
Country : US
Telephone Number : 801-557-9788
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : CHRISTINA MALTERS
Credential : CMHC
Telephone Number : 801-386-9799
Provider Enumeration Date : 06/30/2016
Last Update Date : 01/05/2018

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Directions to “NEXT LEVEL RECOVERY ” Practice Location

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