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NPI Code Detail

MEDICARE: NEXT LEVEL RECOVERY LLC

MEDICARE: NEXT LEVEL RECOVERY LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1801138433
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXT LEVEL RECOVERY LLC
Provider Business Mailing Address
First Line : 6771 S 900 E
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1436
Country : US
Telephone Number : 801-209-7232
Fax Number : 801-436-5434
Provider Business Practice Location Address
First Line : 6771 S 900 E
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1436
Country : US
Telephone Number : 801-209-7232
Fax Number : 801-436-5434
Authorized Official
Title or Position : MANAGING PARTNER
Name : MRS. RENEE G BROWN
Credential :
Telephone Number : 801-209-7232
Provider Enumeration Date : 03/21/2013
Last Update Date : 07/26/2023

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Directions to “NEXT LEVEL RECOVERY LLC ” Practice Location

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