Organization
NEXT GEN RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL BUSTOS (OWNER)
(623) 552-8301
Entity
Organization
Contact information
Practice address
5816 N 72ND DR, GLENDALE, AZ 85303-4712
(623) 552-8301
Mailing address
5816 N 72ND DR, GLENDALE, AZ 85303-4712
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/14/2024
Last updated
10/29/2024
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