Organization
NEXT LEVEL VITALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA ROSS (OWNER)
(619) 244-0221
Entity
Organization
Contact information
Practice address
8360 CLAIREMONT MESA BLVD STE 103, SAN DIEGO, CA 92111-1321
(619) 366-1546
Mailing address
8360 CLAIREMONT MESA BLVD STE 103, SAN DIEGO, CA 92111-1321
(619) 366-1546
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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