# ALTERA VITA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447812755
- **Authorized official:** KARLI KING (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (520) 400-1708

## Contact information

- **Practice address:** 7632 E FAIR MEADOWS LOOP, TUCSON, AZ 85756-6151
- **Practice address phone:** (520) 400-1708
- **Mailing address:** 7632 E FAIR MEADOWS LOOP, TUCSON, AZ 85756-6151
- **Mailing address phone:** (520) 400-1708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 07/08/2019
- **Last updated:** 07/08/2019